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West Virginia 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
$14.56 / $24.87 / $30.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $29.84 / $29.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $18.01 / $82.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.39 / $22.49 / $39.61