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New York 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
$19.87 / $34.97 / $177.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $17.80 / $43.03
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.46 / $32.46 / $32.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $19.34 / $44.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $24.48 / $46.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $20.11 / $35.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $21.97 / $79.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $19.87 / $42.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $17.96 / $87.38