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Utah 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
$61.66 / $87.10 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $165.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $120.23 / $154.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $75.86 / $120.23