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South Dakota 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
$153.93 / $160.53 / $171.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.45 / $314.75 / $393.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.01 / $307.94 / $2,295.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $319.23 / $417.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.42 / $253.06 / $288.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.12 / $287.41 / $370.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $344.00 / $344.00