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Vermont rates for HCPCS 96376

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.68 / $301.37 / $1,809.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.26 / $15.26 / $15.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.18 / $234.63 / $330.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $14.99 / $27.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $14.99 / $27.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $19.00 / $40.74