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See a sample rate comparisonCPT 96379 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.
Injection Or Infusion, An Injection Or Infusion Given Through An Iv Or Into A Blood Vessel. An Infusion Delivers A Fluid Or Medication Over A Period Of Several Hours.
| 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 99 - Other POS |
| Common Modifiers | SS - Home infusion services provided in the infusion suite of the IV therapy provider UD |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 96379 |
| Medicaid Fee Schedule | $20.97 median of the 5 states in the free preview · View Medicaid rates for 96379 |
National average reimbursement for CPT 96379 by major payers:
$54.78
$58.85
$53.75
$32.72
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CPT 96379
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Midlands, Prisma Health Baptist Hospital
Prisma Health-Midlands
$277.32Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Grove
Prisma Health - Upstate
$210.58Published rateMulticare Health System, Multicare Deaconess Hospital
Multicare Health System
$142.14Published rateRothman Orthopaedic Specialty Hospital, LLC, Bucks County Specialty Hospital, LLC
Rothman Orthopaedic Specialty Hospital LLC
$99.86Published rateThe Health Care Authority Of The City Of Anniston, Northeast Alabama Regional Medical Center
The Health Care Authority Of The City Of Anniston
$48.11Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 96379 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 96379 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 96379 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 |
|---|---|---|
| 96379-CPT | Low | Injection Or Infusion, An Injection Or Infusion Given Through An Iv Or Into A Blood Vessel. An Infusion Delivers A Fluid Or Medication Over A Period Of Several Hours. |
| 96405-CPT | Low | Chemothera Administr; Intralesional Up To & Inclu 7 Lesi, Chemotherapy Administration; Intralesional Up To And Including 7 Lesi |
| 96406-CPT | Low | Drug Injected Into Skin Lesion, An Injection Of A Chemotherapy Drug Directly Into A Skin Lesion Usually A Cancerous Lesion. |
| 96416-CPT | Moderate | Chemo Prolong Infuse W Pump, Chemotherapy Administration Intravenous Infusion Technique Initiation Of Prolonged Chemotherapy Infusion More Than 8 Hours Requiring Use Of A Portable Or Implantable Pump |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96379. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96379 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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