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Arizona 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)

Professionalmedian $83 · 10th–90th $17–$4170%5%10th90th$83$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $85.11 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.30 / $35.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $25.12 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $25.12 / $38.02