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Oklahoma 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
$14.11 / $14.41 / $25.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $19.26 / $21.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $26.18 / $32.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $20.26 / $32.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $20.75 / $32.15