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Utah 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
$142.60 / $200.91 / $313.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.70 / $227.91 / $313.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $115.80 / $150.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.01 / $248.69 / $292.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.21 / $190.06 / $285.47