go back

South Carolina 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
$15.14 / $34.67 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.80 / $17.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $12.02 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.99 / $35.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $21.38 / $30.90