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For CY 2026, we believed this procedure was still appropriately assigned to APC 5331 (Complex GI Procedures), which had a proposed payment rate of $6,276.20

If you have an Original Medicare (with or without a supplemental Medigap plan), instead of a Medicare Advantage plan, you may choose to enroll in a standalone prescription drug plan through Medicare Part D

Value-Based Payment Models: Some payers are exploring alternative payment models for injection services, which could affect how 96372 is used and reimbursed

Not only should you find a facility specializing in non-invasive anti-aging treatments, but you should also look for providers who are fully qualified to perform this type of procedure in San Diego

If BPC-157 is appropriate, we develop a personalized protocol, coordinate with your other providers if needed, and prescribe from a trusted compounding pharmacy

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