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Wyoming 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
$23.48 / $23.48 / $914.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $28.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $58.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $32.04 / $67.09