go back

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)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $86.86 / $440.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.53 / $83.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $27.00 / $36.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $25.08 / $35.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $24.12 / $37.04