CPT code 96377: Injector application, timed subcutaneous delivery2026 Medicare rate & RVUs in Utah
Report this service when clinical staff apply an on-body injector that delivers a prescribed medication by timed subcutaneous injection after the patient leaves.
In Utah, Medicare pays $18.22 for 96377 in the office.
Check a contract rate as a % of Medicare · 96377 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 96377 covers
This service covers applying an on-body injector, including inserting its cannula, so a prescribed medication can be delivered by timed subcutaneous injection. A common example is applying a pegfilgrastim on-body injector after chemotherapy, with delivery scheduled for later. Office clinical staff typically perform the application and provide instructions about wearing and monitoring the device.
Report the application service, not a separate injection when the device later delivers the dose. Report the medication product separately when applicable. Documentation should identify the medication and dose, the application site, and that the injector was applied and activated. Under the CMS incident-to rule, the service is billed only when performed under physician supervision.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Utah compares for 96377
Across 109 of 109 payment localities, the office rate for 96377 runs from $17.04 in Arkansas to $25.27 in San Benito County, CA. Utah pays $18.22. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$18.22
- Los Angeles, CA · California$21.54+$3.32
- Washington, DC area · District of Columbia$21.70+$3.48
- Miami, FL · Florida$20.08+$1.86
- Chicago, IL · Illinois$19.58+$1.36
- Manhattan, NY · New York$21.71+$3.49
- Alaska · Alaska$22.57+$4.35
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $17.27 | — |
| ArkansasArkansas | $17.04 | — |
| ArizonaArizona | $18.59 | — |
| Bakersfield, CACalifornia | $20.27 | — |
| Chico, CACalifornia | $20.23 | — |
| El Centro, CACalifornia | $20.23 | — |
| Fresno, CACalifornia | $20.23 | — |
| Hanford, CACalifornia | $20.23 | — |
| Madera, CACalifornia | $20.23 | — |
| Merced, CACalifornia | $20.23 | — |
| Modesto, CACalifornia | $20.23 | — |
| Napa, CACalifornia | $23.37 | — |
| Oxnard, CACalifornia | $21.44 | — |
| Redding, CACalifornia | $20.23 | — |
| Rest of CaliforniaCalifornia | $20.23 | — |
| Riverside, CACalifornia | $20.34 | — |
| Sacramento, CACalifornia | $21.21 | — |
| Salinas, CACalifornia | $21.13 | — |
| San Diego, CACalifornia | $21.61 | — |
| Marin County, CACalifornia | $24.74 | — |
| San Francisco, CACalifornia | $24.73 | — |
| San Benito County, CACalifornia | $25.27 | — |
| Santa Clara County, CACalifornia | $25.22 | — |
| San Luis Obispo, CACalifornia | $20.79 | — |
| Santa Cruz, CACalifornia | $21.80 | — |
| Santa Maria, CACalifornia | $21.20 | — |
| Santa Rosa, CACalifornia | $22.02 | — |
| Stockton, CACalifornia | $20.23 | — |
| Vallejo, CACalifornia | $23.36 | — |
| Visalia, CACalifornia | $20.23 | — |
| Yuba City, CACalifornia | $20.23 | — |
| ColoradoColorado | $19.87 | — |
| ConnecticutConnecticut | $20.23 | — |
| DelawareDelaware | $18.88 | — |
| Fort Lauderdale, FLFlorida | $19.48 | — |
| Rest of FloridaFlorida | $18.63 | — |
| Atlanta, GAGeorgia | $19.33 | — |
| Rest of GeorgiaGeorgia | $17.70 | — |
| Hawaii, Guam, HIHawaii | $20.68 | — |
| IowaIowa | $17.73 | — |
| IdahoIdaho | $17.82 | — |
| East St. Louis, ILIllinois | $18.34 | — |
| Rest of IllinoisIllinois | $18.09 | — |
| Suburban Chicago, ILIllinois | $19.69 | — |
| IndianaIndiana | $17.92 | — |
| KansasKansas | $17.62 | — |
| KentuckyKentucky | $17.56 | — |
| New Orleans, LALouisiana | $18.32 | — |
| Rest of LouisianaLouisiana | $17.53 | — |
| Metropolitan Boston, MAMassachusetts | $21.76 | — |
| Rest of MassachusettsMassachusetts | $19.75 | — |
| Baltimore area, MDMaryland | $20.16 | — |
| Rest of MarylandMaryland | $19.22 | — |
| Rest of MaineMaine | $17.87 | — |
| Southern Maine, MEMaine | $18.80 | — |
| Detroit, MIMichigan | $18.81 | — |
| Rest of MichiganMichigan | $17.95 | — |
| MinnesotaMinnesota | $19.18 | — |
| Metropolitan Kansas City, MOMissouri | $18.24 | — |
| Metropolitan St. Louis, MOMissouri | $18.41 | — |
| Rest of MissouriMissouri | $17.23 | — |
| MississippiMississippi | $17.14 | — |
| MontanaMontana | $19.04 | — |
| North CarolinaNorth Carolina | $18.05 | — |
| North DakotaNorth Dakota | $18.84 | — |
| NebraskaNebraska | $17.83 | — |
| New HampshireNew Hampshire | $19.53 | — |
| Northern New JerseyNew Jersey | $21.50 | — |
| Rest of New JerseyNew Jersey | $20.50 | — |
| New MexicoNew Mexico | $18.02 | — |
| NevadaNevada | $19.00 | — |
| NYC suburbs and Long Island, NYNew York | $22.15 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $20.60 | — |
| Queens, NYNew York | $21.92 | — |
| Rest of New YorkNew York | $18.29 | — |
| OhioOhio | $17.91 | — |
| OklahomaOklahoma | $17.57 | — |
| Portland, OROregon | $20.49 | — |
| Rest of OregonOregon | $18.89 | — |
| Metropolitan Philadelphia, PAPennsylvania | $19.74 | — |
| Rest of PennsylvaniaPennsylvania | $17.95 | — |
| Puerto RicoPuerto Rico | $19.18 | — |
| Rhode IslandRhode Island | $19.54 | — |
| South CarolinaSouth Carolina | $18.00 | — |
| South DakotaSouth Dakota | $18.82 | — |
| TennesseeTennessee | $17.70 | — |
| Austin, TXTexas | $19.77 | — |
| Beaumont, TXTexas | $17.84 | — |
| Brazoria, TXTexas | $18.89 | — |
| Dallas, TXTexas | $18.99 | — |
| Fort Worth, TXTexas | $18.86 | — |
| Galveston, TXTexas | $18.94 | — |
| Houston, TXTexas | $19.12 | — |
| Rest of TexasTexas | $18.34 | — |
| VirginiaVirginia | $18.72 | — |
| Virgin Islands, VIUnited States Virgin Islands | $19.18 | — |
| VermontVermont | $18.74 | — |
| Rest of WashingtonWashington | $19.72 | — |
| King County, WAWashington | $22.22 | — |
| WisconsinWisconsin | $18.26 | — |
| West VirginiaWest Virginia | $17.48 | — |
| WyomingWyoming | $18.95 | — |
96377 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$17.04
$22.75
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $22.57 | 1 |
| AL | $17.27 | 1 |
| AR | $17.04 | 1 |
| AZ | $18.59 | 1 |
| CA | $20.23–$25.27 | 29 |
| CO | $19.87 | 1 |
| CT | $20.23 | 1 |
| DC | $21.70 | 1 |
| DE | $18.88 | 1 |
| FL | $18.63–$20.08 | 3 |
| GA | $17.70–$19.33 | 2 |
| GU | $20.68 | 1 |
| HI | $20.68 | 1 |
| IA | $17.73 | 1 |
| ID | $17.82 | 1 |
| IL | $18.09–$19.69 | 4 |
| IN | $17.92 | 1 |
| KS | $17.62 | 1 |
| KY | $17.56 | 1 |
| LA | $17.53–$18.32 | 2 |
| MA | $19.75–$21.76 | 2 |
| MD | $19.22–$21.70 | 3 |
| ME | $17.87–$18.80 | 2 |
| MI | $17.95–$18.81 | 2 |
| MN | $19.18 | 1 |
| MO | $17.23–$18.41 | 3 |
| MS | $17.14 | 1 |
| MT | $19.04 | 1 |
| NC | $18.05 | 1 |
| ND | $18.84 | 1 |
| NE | $17.83 | 1 |
| NH | $19.53 | 1 |
| NJ | $20.50–$21.50 | 2 |
| NM | $18.02 | 1 |
| NV | $19.00 | 1 |
| NY | $18.29–$22.15 | 5 |
| OH | $17.91 | 1 |
| OK | $17.57 | 1 |
| OR | $18.89–$20.49 | 2 |
| PA | $17.95–$19.74 | 2 |
| PR | $19.18 | 1 |
| RI | $19.54 | 1 |
| SC | $18.00 | 1 |
| SD | $18.82 | 1 |
| TN | $17.70 | 1 |
| TX | $17.84–$19.77 | 8 |
| UT | $18.22 | 1 |
| VA | $18.72–$21.70 | 2 |
| VI | $19.18 | 1 |
| VT | $18.74 | 1 |
| WA | $19.72–$22.22 | 2 |
| WI | $18.26 | 1 |
| WV | $17.48 | 1 |
| WY | $18.95 | 1 |
How the 96377 rate is calculated
Each of 96377’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 96377
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.39
0.39 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.5700
Conversion factor
$33.4009
Medicare rate
$19.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,791
- Code
- 96377
- Physician work
- 0.17
- Practice expense
- 0.39
- Malpractice
- 0.01
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.39 | × 0.940 | 0.3666 |
| Malpractice | 0.01 | × 0.898 | 0.0090 |
| Total RVUs | 0.5456 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$18.22
Office: (0.17 × 1 + 0.39 × 0.94 + 0.01 × 0.898) × $33.4009 = $18.22
Payment rules and modifiers for 96377
The CMS indicators that decide how 96377 is paid alongside other services.
CMS payment indicators · 96377
Injector application, timed subcutaneous delivery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
How 96377 has changed in Utah
96377 · Office / nonfacility
$18.22
Effective 2026-10-01
The base rate is $1.56 higher than on 2025-10-01, moving from $16.66 to $18.22 (9.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$16.66changed to$18.22
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.36 changed to 0.39
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$17.46changed to$16.66
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.37 changed to 0.36
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$17.17changed to$17.46
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$17.66changed to$17.17
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$18.24changed to$17.66
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.38 changed to 0.37
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$19.04changed to$18.24
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.40 changed to 0.38
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$19.15changed to$19.04
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.38 changed to 0.40
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$19.58changed to$19.15
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.39 changed to 0.38
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$19.89changed to$19.58
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.40 changed to 0.39
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$19.89
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged toNo rate
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $18.22 | Not available in this setting | RVU26D |
| 2026-07-01 | $18.22 | Not available in this setting | RVU26C |
| 2026-04-01 | $18.22 | Not available in this setting | RVU26B |
| 2026-01-01 | $18.22 | Not available in this setting | RVU26A |
| 2025-10-01 | $16.66 | Not available in this setting | RVU25D |
| 2025-07-01 | $16.66 | Not available in this setting | RVU25C |
| 2025-04-01 | $16.66 | Not available in this setting | RVU25B |
| 2025-01-01 | $16.66 | Not available in this setting | RVU25A |
| 2024-10-01 | $17.46 | Not available in this setting | RVU24D |
| 2024-07-01 | $17.46 | Not available in this setting | RVU24C |
| 2024-04-01 | $17.46 | Not available in this setting | RVU24B |
| 2024-03-09 | $17.46 | Not available in this setting | RVU24AR |
| 2024-01-01 | $17.17 | Not available in this setting | RVU24A |
| 2023-10-01 | $17.66 | Not available in this setting | RVU23D |
| 2023-07-01 | $17.66 | Not available in this setting | RVU23C |
| 2023-04-01 | $17.66 | Not available in this setting | RVU23B |
| 2023-01-01 | $17.66 | Not available in this setting | RVU23A |
| 2022-10-01 | $18.24 | Not available in this setting | RVU22D |
| 2022-07-01 | $18.24 | Not available in this setting | RVU22C |
| 2022-04-01 | $18.24 | Not available in this setting | RVU22B |
| 2022-01-01 | $18.24 | Not available in this setting | RVU22A |
| 2021-10-01 | $19.04 | Not available in this setting | RVU21D |
| 2021-07-01 | $19.04 | Not available in this setting | RVU21C |
| 2021-04-01 | $19.04 | Not available in this setting | RVU21B |
| 2021-01-01 | $19.04 | Not available in this setting | RVU21A |
| 2020-10-01 | $19.15 | Not available in this setting | RVU20D |
| 2020-07-01 | $19.15 | Not available in this setting | RVU20C |
| 2020-04-01 | $19.15 | Not available in this setting | RVU20B |
| 2020-01-01 | $19.15 | Not available in this setting | RVU20A |
| 2019-10-01 | $19.58 | Not available in this setting | RVU19D |
| 2019-07-01 | $19.58 | Not available in this setting | RVU19C |
| 2019-04-01 | $19.58 | Not available in this setting | RVU19B |
| 2019-01-01 | $19.58 | Not available in this setting | RVU19A |
| 2018-10-01 | $19.89 | Not available in this setting | RVU18D |
| 2018-07-01 | $19.89 | Not available in this setting | RVU18C |
| 2018-04-01 | $19.89 | Not available in this setting | RVU18B |
| 2018-01-01 | $19.89 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Separate payment rules apply | Separate payment rules apply | RVU17D |
| 2017-07-01 | Separate payment rules apply | Separate payment rules apply | RVU17C |
| 2017-04-01 | Separate payment rules apply | Separate payment rules apply | RVU17B |
| 2017-01-01 | Separate payment rules apply | Separate payment rules apply | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
96377 billing questions
When should 96377 be reported instead of 96372?
Use 96377 for applying an on-body injector that delivers a timed subcutaneous dose. Use 96372 for a subcutaneous or intramuscular injection administered directly during the encounter.
Is the medication included in 96377?
No. 96377 reports the injector application; report the medication product separately when applicable.
Can 96377 be billed when the patient receives the dose later?
Yes. The service is the application of the injector, even though the device is scheduled to deliver the medication later.
What supervision is required for billing 96377?
CMS classifies this as an incident-to service, so it is billed only when performed under physician supervision.
What should the record document?
Document the medication and dose associated with the device, the application site, and that the injector was applied and activated.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 96377 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet