Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG
72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +39 other terms | 528 | $230.22 | $291.27 | $1.00 – $1,441 |
| 2 | UnitedHealthcare fee schedule · outpatient · +42 other terms | 502 | $214.29 | $762.79 | $1.00 – $28,686 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 477 | $210.71 | $306.37 | $1.00 – $22,816 |
| 4 | Humana fee schedule · outpatient · +36 other terms | 402 | $216.99 | $225.64 | $1.10 – $8,334 |
| 5 | Cigna fee schedule · outpatient · +36 other terms | 239 | $228.86 | $688.71 | $1.00 – $12,607 |
| 6 | Molina fee schedule · outpatient · +33 other terms | 194 | $198.09 | $176.58 | $1.00 – $859.00 |
| 7 | WellCare fee schedule · outpatient · +25 other terms | 185 | $224.56 | $216.61 | $29.27 – $493.76 |
| 8 | Anthem facility · fee schedule · outpatient · +34 other terms | 155 | $237.28 | $364.85 | $3.84 – $5,979 |
| 9 | MultiPlan fee schedule · outpatient · +23 other terms | 139 | $374.03 | $496.27 | $24.89 – $14,409 |
| 10 | Kaiser fee schedule · outpatient · +26 other terms | 110 | $256.85 | $342.46 | $30.46 – $1,625 |
| 11 | Devoted facility · fee schedule · outpatient · +18 other terms | 108 | $213.35 | $230.42 | $28.30 – $4,877 |
| 12 | Ambetter facility · fee schedule · outpatient · +23 other terms | 102 | $380.24 | $370.89 | $39.03 – $7,074 |
| 13 | Highmark facility · fee schedule · outpatient · +19 other terms | 94 | $219.95 | $241.65 | $3.84 – $1,461 |
| 14 | Tricare facility · fee schedule · outpatient · +20 other terms | 93 | $213.67 | $340.07 | $26.10 – $7,197 |
| 15 | Medicaid facility · fee schedule · outpatient · +18 other terms | 62 | $183.62 | $132.92 | $22.58 – $251.45 |
| 16 | Oscar facility · fee schedule · outpatient · +24 other terms | 61 | $335.36 | $344.98 | $98.00 – $4,077 |
| 17 | Caresource fee schedule · outpatient · +24 other terms | 60 | $199.30 | $214.71 | $1.08 – $371.51 |
| 18 | Optum fee schedule · outpatient · +26 other terms | 60 | $193.45 | $251.79 | $29.74 – $3,963 |
| 19 | Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms | 53 | $48.43 | $99.43 | $31.02 – $477.56 |
| 20 | Medicare other · both · +19 other terms | 52 | $225.04 | $229.57 | $80.67 – $521.00 |
| 21 | First Health fee schedule · outpatient · +20 other terms | 51 | $397.43 | $460.05 | $33.18 – $980.90 |
| 22 | Regence facility · fee schedule · outpatient · +20 other terms | 43 | $217.31 | $249.51 | $3.84 – $1,461 |
| 23 | Aetna Better Health fee schedule · outpatient · +19 other terms | 40 | $105.47 | $127.06 | $25.40 – $763.74 |
| 24 | Medica fee schedule · outpatient · +24 other terms | 40 | $146.29 | $154.55 | $29.85 – $639.10 |
| 25 | Clover facility · fee schedule · outpatient · +11 other terms | 37 | $224.01 | $221.90 | $185.15 – $248.12 |
← Hospitals reporting CPT 96374 · Snapshot 20261108T203506Z-bb90dbab