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Pennsylvania rates for HCPCS 96422

Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.91 / $159.91 / $232.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.18 / $147.54 / $306.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.82 / $213.25 / $349.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.62 / $230.32 / $301.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.91 / $167.89 / $313.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.50 / $219.39 / $450.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.82 / $209.95 / $364.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.88 / $149.53 / $249.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $173.59 / $303.47