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Indiana 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
$14.21 / $18.16 / $36.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $27.76 / $37.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.23 / $14.55 / $17.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.41 / $26.22 / $38.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $21.58 / $32.20