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Ohio 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
$15.87 / $43.15 / $540.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $30.45 / $48.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.62 / $17.28 / $31.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $25.05 / $38.69
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $33.02 / $41.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $24.31 / $37.68