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Pennsylvania rates for HCPCS 96417

Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.02 / $82.17 / $619.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.32 / $55.07 / $61.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.88 / $75.12 / $118.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.57 / $88.23 / $143.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $93.34 / $169.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $79.63 / $81.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.45 / $93.89 / $464.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.30 / $133.90 / $180.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.40 / $87.36 / $145.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.17 / $61.14 / $68.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.51 / $73.59 / $126.97