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Michigan 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
$15.85 / $43.65 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.49 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $32.36 / $39.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.91 / $151.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $32.36 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.70 / $34.67