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South Dakota rates for HCPCS 96415

Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.41 / $89.00 / $307.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.75 / $55.69 / $68.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $50.90 / $336.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.31 / $57.55 / $70.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $44.82 / $51.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $49.09 / $58.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $60.90 / $60.90