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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
$28.18 / $83.18 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $57.54 / $72.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $44.67 / $338.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $64.57 / $66.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $45.71 / $58.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $60.26