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Washington 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
$65.23 / $89.97 / $443.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.52 / $66.84 / $82.04
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.01 / $152.31 / $555.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $122.97 / $198.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $111.55 / $181.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $109.44 / $185.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.70 / $146.09 / $179.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.01 / $126.16 / $165.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $112.21 / $192.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.24 / $70.26 / $70.26