Code: 96376

Description:
HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC
Other Descriptions:
**IVP EA ADD SEQ SAME DR
HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC
IV PUSH EA AD SEQ SM DRG ER
INJ/IVPUSH ADD SAME DRUGM59
INJ/IV PUSH ADDL SAME DRUG
IV PUSH SAME DRUG EA ADDL
*IVP ADD SAMEMED>30MIN9637
ISM CHARGE 1227
ISM TEST ADM MOD
Related codes:
Code: 96370
SQ INFUSION EA ADDL HOUR
Code: 96371
SQ INFUSION ADDL PUMP SU
Code: 96372
INJECTION IM OR SQ
Code: 96373
INJECTION INTRA-ARTERIAL
Code: 96374
IVP SINGLE/INITIAL DRUG
Code: 96375
IVP EA ADD SEQ NEW DRUG
Code: 96377
APP ONBODY INJ
Code: 96379
UNLISTED IV/IA INJ/INF
Utah
Hospital Address Code Price Last Updated
Castleview Hospital 300 North Hospital Drive, Price 96376 $40 [source] 3 years ago
Moab Regional Hospital 450 Williams Way, Moab 96376 $71 [source] 3 years ago
Mountainstar Healthcare 6985 Union Park Center, Suite 500, Midvale 96376 $175 [source] 3 years ago
Garfield Memorial Clinic 200 N 400 E, Panguitch 96376 $385 [source] 3 years ago
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.