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Maryland 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
$14.45 / $24.05 / $437.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $25.16 / $25.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $40.90 / $41.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.23 / $17.51 / $22.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $23.89 / $34.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.23 / $15.23 / $17.51