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Utah rates for HCPCS 96369

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.71 / $192.71 / $192.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.82 / $254.96 / $278.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.94 / $189.65 / $238.48