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West Virginia 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
$79.12 / $246.28 / $849.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $9.61 / $17.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $12.54 / $13.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.22 / $19.38 / $19.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $11.71 / $82.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.45 / $63.72 / $142.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $13.38 / $21.74