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Utah rates for HCPCS 80376

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6

Facilitymedian $12 · 10th–90th $2–$150%20%40%10th90th$12Professionalmedian $28 · 10th–90th $10–$420%20%10th90th$28$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $32.36 / $37.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.18 / $43.65
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.23 / $25.70