Last updated: March 2026CMS official rates · Free to use
Medicare Fee Schedule Lookup
Find 2026 Medicare reimbursement rates and national payment amounts for any CPT, HCPCS, or MS-DRG code. Physician Fee Schedule, Drug ASP, MS-DRG weights, Anesthesia, and Clinical Lab — sourced directly from CMS.
Coverage at a glance
Filters
96371
20252026
Select one or more years
Up to 5 codes · 4 remaining
Need commercial rates?
Compare Medicare against in-network rates from 180+ payers.
Run a free sample reportShowing
Physician Fee Schedule·96371·National·2025, 2026
Current non-facility rate
$56.45▲0.0%
Facility: $56.62
Recent trend
Code description
Subcutaneous Infusion For Therapy Or Prophylaxis (Specify Substance Or Drug); Additional Pump Set-Up With Establishment Of New Subcutaneous Infusion Site(S) (List Separately In Addition To Code For Primary Procedure)
| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 96371 | 4/2026 | N/A | 00 | 00000 | $56.45 | $56.62 | Subcutaneous Infusion For Therapy Or Prophylaxis (Specify Substance Or Drug); Additional Pump Set-Up With Establishment Of New Subcutaneous Infusion Site(S) (List Separately In Addition To Code For Primary Procedure) |
| 96371 | 1/2026 | N/A | 00 | 00000 | $56.45 | $56.62 | Subcutaneous Infusion For Therapy Or Prophylaxis (Specify Substance Or Drug); Additional Pump Set-Up With Establishment Of New Subcutaneous Infusion Site(S) (List Separately In Addition To Code For Primary Procedure) |
| 96371 | 10/2025 | N/A | 00 | 00000 | $55.64 | $55.80 | Subcutaneous Infusion For Therapy Or Prophylaxis (Specify Substance Or Drug); Additional Pump Set-Up With Establishment Of New Subcutaneous Infusion Site(S) (List Separately In Addition To Code For Primary Procedure) |
| 96371 | 7/2025 | N/A | 00 | 00000 | $55.64 | $55.80 | Subcutaneous Infusion For Therapy Or Prophylaxis (Specify Substance Or Drug); Additional Pump Set-Up With Establishment Of New Subcutaneous Infusion Site(S) (List Separately In Addition To Code For Primary Procedure) |
| 96371 | 4/2025 | N/A | 00 | 00000 | $55.64 | $55.80 | Subcutaneous Infusion For Therapy Or Prophylaxis (Specify Substance Or Drug); Additional Pump Set-Up With Establishment Of New Subcutaneous Infusion Site(S) (List Separately In Addition To Code For Primary Procedure) |
| 96371 | 1/2025 | N/A | 00 | 00000 | $55.64 | $55.80 | Subcutaneous Infusion For Therapy Or Prophylaxis (Specify Substance Or Drug); Additional Pump Set-Up With Establishment Of New Subcutaneous Infusion Site(S) (List Separately In Addition To Code For Primary Procedure) |
PayerPrice Platform
Medicare is just the floor. See what UHC, Aetna, BCBS, and Cigna actually pay for the same code.
Negotiated rates from 180+ commercial payers · NPI/TIN-level detail · ZIP-level geography · Historical trends · API, SQL, MCP & bulk export.
Related codes
96370Subcutaneous Infusion For Therapy Or Prophylaxis (Specify Substance Or Drug); Each Additional Hour (List Separately In Addition To Code For Primary Procedure)
$17.0396372Therpeutic, Prophylactic Or Diagnostic Injection {Specify Substance Or Drug}; Subcutaneous Or Intramuscular Nurse Pracitioner Rendering Service In Collaborati
$15.3696416Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Prolonged Chemotherapy Infusion (More Than 8 Hours), Requiring Use Of A Portable Or Implantable Pump
$133.27Methodology
Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.
View CMS Physician Fee Schedule