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Texas 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
$12.22 / $15.87 / $34.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $12.31 / $25.65
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $20.43 / $28.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $21.67 / $35.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $13.62 / $13.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $24.77 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $22.21 / $35.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $12.14 / $19.30