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See a sample rate comparisonCPT 96377 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Application Of On-Body Injecto, Application Of On-Body Injector (Includes Cannula Insertion) For Timed Subcutaneous Injection
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $19.04 national non-facility rate (2026) · View Medicare rates for 96377 |
| Medicaid Fee Schedule | $15.225 median of the 8 states in the free preview · View Medicaid rates for 96377 |
National average reimbursement for CPT 96377 by major payers:
$27.05
$26.04
$25.09
$44.85
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CPT 96377
5 of 25 sample ratesHigher to lower in this preview
Timothy Kendrick
Slocum Dickson Medical Group PLLC
$31.09Published rateEmily Hidalgo
Slocum Dickson Medical Group PLLC
$31.09Published rateAlissa Tucciarone
Slocum Dickson Medical Group PLLC
$25.87Published rateHeidi Roloson
Slocum Dickson Medical Group PLLC
$22.97Published rateAileen Callan
Slocum Dickson Medical Group PLLC
$22.97Published rate
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See a sample payer proposalCPT 96377 vs. Other Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration Codes
The CPT 96377 code is part of the Medicine Services and Procedures services used for Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 96377 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 96370-CPT | Low | Infusion Under The Skin, An Infusion Under The Skin Uses A Pump To Deliver A Fluid Or Medication Over A Period Of Several Hours. Infusion May Be Part Of A Therapy Preventive Measure Or A Part Of A Test. |
| 96372-CPT | Low | Therpeutic, Prophylactic Or Diagnostic Injection {Specify Substance Or Drug}; Subcutaneous Or Intramuscular Nurse Pracitioner Rendering Service In Collaborati |
| 96377-CPT | Low | Application Of On-Body Injecto, Application Of On-Body Injector (Includes Cannula Insertion) For Timed Subcutaneous Injection |
| 96401-CPT | Low | Chemothera Administr Subcutane Or Intramuscul; Non-Hormon, Chemotherapy Administration Subcutaneous Or Intramuscular; Non-Hormon |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96377. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96377 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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