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Utah rates for HCPCS 96376

Ther Proph/Dx Njx Ea Seql Iv Push Sbst/Drug Fac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.84 / $228.05 / $411.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $15.98 / $113.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $19.05 / $19.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $14.29 / $20.50