go back

New Hampshire rates for HCPCS 96371

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $162.18 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $194.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $114.82 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $114.82 / $218.78