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Arkansas rates for HCPCS 96375

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $22.21 / $27.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $21.10 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.67 / $31.74 / $35.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $22.28 / $34.32