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Connecticut 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
$31.86 / $31.86 / $41.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.36 / $43.95 / $55.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.71 / $35.44 / $43.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $30.02 / $44.90