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Missouri 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
$15.00 / $24.50 / $93.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $27.13 / $35.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.66 / $27.75 / $36.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $23.03 / $38.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $21.36 / $38.96