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Utah rates for HCPCS 96365

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $79.43 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $100.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $100.00 / $138.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $89.13 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $102.33