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Washington, DC 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
$15.45 / $15.45 / $15.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $168.35 / $269.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $36.15 / $36.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.12 / $22.85 / $54.04