# CPT 96371: Subcutaneous infusion, additional pump set-up (add-on)

Medicare CPT 96371 pays $56.45 in a non-facility setting and $56.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $48.49 in Arkansas to $66.79 in California, a 38% spread.

Web page: https://www.med-reveal.com/rates/96371-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $56.45 |
| National facility | $56.45 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $66.79 | $66.79 |
| District of Columbia | $66.50 | $66.50 |
| Washington | $64.35 | $64.35 |
| Hawaii | $64.18 | $64.18 |
| New Jersey | $63.56 | $63.56 |
| Massachusetts | $63.42 | $63.42 |
| New York | $62.97 | $62.97 |
| Connecticut | $60.79 | $60.79 |
| Alaska | $60.12 | $60.12 |
| Colorado | $60.06 | $60.06 |
| Oregon | $59.47 | $59.47 |
| Maryland | $58.85 | $58.85 |
| New Hampshire | $58.76 | $58.76 |
| Rhode Island | $58.31 | $58.31 |
| Minnesota | $58.08 | $58.08 |
| Puerto Rico | $57.07 | $57.07 |
| Virgin Islands | $57.07 | $57.07 |
| Florida | $56.63 | $56.63 |
| Nevada | $56.50 | $56.50 |
| Montana | $56.45 | $56.45 |
| North Dakota | $56.45 | $56.45 |
| South Dakota | $56.45 | $56.45 |
| Wyoming | $56.45 | $56.45 |
| Vermont | $55.88 | $55.88 |
| Delaware | $55.77 | $55.77 |
| Texas | $55.57 | $55.57 |
| Virginia | $55.49 | $55.49 |
| Pennsylvania | $55.29 | $55.29 |
| Arizona | $54.70 | $54.70 |
| Illinois | $54.54 | $54.54 |
| Wisconsin | $54.08 | $54.08 |
| Maine | $53.94 | $53.94 |
| Georgia | $53.85 | $53.85 |
| Utah | $53.06 | $53.06 |
| Michigan | $53.01 | $53.01 |
| North Carolina | $52.67 | $52.67 |
| Indiana | $52.33 | $52.33 |
| South Carolina | $52.16 | $52.16 |
| Nebraska | $52.10 | $52.10 |
| Idaho | $51.93 | $51.93 |
| Missouri | $51.80 | $51.80 |
| New Mexico | $51.76 | $51.76 |
| Iowa | $51.65 | $51.65 |
| Louisiana | $51.54 | $51.54 |
| Ohio | $51.54 | $51.54 |
| Tennessee | $51.31 | $51.31 |
| Kansas | $51.03 | $51.03 |
| Oklahoma | $50.41 | $50.41 |
| Kentucky | $50.18 | $50.18 |
| Alabama | $49.39 | $49.39 |
| West Virginia | $49.05 | $49.05 |
| Mississippi | $48.60 | $48.60 |
| Arkansas | $48.49 | $48.49 |

## 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
- 96369: Subcutaneous infusion for therapy/prophylaxis, initial, up to 1 hour — https://www.med-reveal.com/rates/96369-cpt-fee-schedule
- 96370: Subcutaneous infusion, each additional hour (add-on) — https://www.med-reveal.com/rates/96370-cpt-fee-schedule

Commercial negotiated rates for 96371 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