# CPT 96369: Subcutaneous infusion for therapy/prophylaxis, initial, up to 1 hour

Medicare CPT 96369 pays $144.96 in a non-facility setting and $144.96 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $125.16 in Arkansas to $169.85 in California, a 36% spread.

Web page: https://www.med-reveal.com/rates/96369-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Rheumatology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $144.96 |
| National facility | $144.96 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $169.85 | $169.85 |
| District of Columbia | $169.83 | $169.83 |
| Washington | $164.14 | $164.14 |
| Hawaii | $163.30 | $163.30 |
| New Jersey | $162.66 | $162.66 |
| Massachusetts | $161.92 | $161.92 |
| New York | $161.49 | $161.49 |
| Alaska | $156.92 | $156.92 |
| Connecticut | $155.86 | $155.86 |
| Colorado | $153.59 | $153.59 |
| Oregon | $152.07 | $152.07 |
| Maryland | $150.95 | $150.95 |
| New Hampshire | $150.45 | $150.45 |
| Rhode Island | $149.50 | $149.50 |
| Minnesota | $148.23 | $148.23 |
| Puerto Rico | $146.45 | $146.45 |
| Virgin Islands | $146.45 | $146.45 |
| Florida | $146.37 | $146.37 |
| Montana | $144.96 | $144.96 |
| Nevada | $144.93 | $144.93 |
| Wyoming | $144.70 | $144.70 |
| North Dakota | $144.36 | $144.36 |
| South Dakota | $144.29 | $144.29 |
| Delaware | $143.25 | $143.25 |
| Vermont | $143.10 | $143.10 |
| Texas | $142.80 | $142.80 |
| Virginia | $142.34 | $142.34 |
| Pennsylvania | $142.29 | $142.29 |
| Illinois | $141.28 | $141.28 |
| Arizona | $140.57 | $140.57 |
| Georgia | $138.87 | $138.87 |
| Wisconsin | $138.51 | $138.51 |
| Maine | $138.50 | $138.50 |
| Michigan | $137.01 | $137.01 |
| Utah | $136.64 | $136.64 |
| North Carolina | $135.42 | $135.42 |
| Indiana | $134.45 | $134.45 |
| South Carolina | $134.40 | $134.40 |
| Nebraska | $133.79 | $133.79 |
| New Mexico | $133.79 | $133.79 |
| Missouri | $133.67 | $133.67 |
| Idaho | $133.48 | $133.48 |
| Louisiana | $133.10 | $133.10 |
| Ohio | $133.05 | $133.05 |
| Iowa | $132.72 | $132.72 |
| Tennessee | $132.03 | $132.03 |
| Kansas | $131.32 | $131.32 |
| Oklahoma | $130.08 | $130.08 |
| Kentucky | $129.67 | $129.67 |
| West Virginia | $127.45 | $127.45 |
| Alabama | $127.41 | $127.41 |
| Mississippi | $125.66 | $125.66 |
| Arkansas | $125.16 | $125.16 |

## Related codes

- 96360: Intravenous infusion, hydration, initial 31 minutes to 1 hour — https://www.med-reveal.com/rates/96360-cpt-fee-schedule
- 96361: Intravenous infusion, hydration, each additional hour (add-on) — https://www.med-reveal.com/rates/96361-cpt-fee-schedule
- 96365: Intravenous infusion, for therapy/prophylaxis/diagnosis, initial, up to 1 hour — https://www.med-reveal.com/rates/96365-cpt-fee-schedule
- 96366: Intravenous infusion, therapy, each additional hour (add-on) — https://www.med-reveal.com/rates/96366-cpt-fee-schedule
- 96367: Intravenous infusion, additional sequential infusion, up to 1 hour (add-on) — https://www.med-reveal.com/rates/96367-cpt-fee-schedule
- 96368: Intravenous infusion, concurrent infusion (add-on) — https://www.med-reveal.com/rates/96368-cpt-fee-schedule
- 96370: Subcutaneous infusion, each additional hour (add-on) — https://www.med-reveal.com/rates/96370-cpt-fee-schedule
- 96371: Subcutaneous infusion, additional pump set-up (add-on) — https://www.med-reveal.com/rates/96371-cpt-fee-schedule

Commercial negotiated rates for 96369 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules