go back

New Hampshire 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)

Professionalmedian $29 · 10th–90th $16–$660%10%10th90th$29$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.99 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $41.69 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $31.62 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $31.62 / $128.82