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Vermont 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
$25.36 / $25.82 / $59.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $26.61 / $42.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $26.61 / $42.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $35.00 / $67.36