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Louisiana 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
$18.17 / $23.66 / $52.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $20.00 / $20.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.38 / $16.30 / $33.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $20.82 / $30.47