go back

Utah rates for HCPCS 96375

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $38.00 / $175.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.04 / $29.81 / $30.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $27.72 / $30.47