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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
$144.54 / $181.97 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $363.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $288.40 / $331.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $288.40