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Wisconsin rates for HCPCS 96422

Chemotherapy Admin Intra-Arterial Infus <1 Hr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.13 / $190.82 / $262.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.00 / $305.88 / $689.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.18 / $382.45 / $575.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.65 / $334.95 / $2,295.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.96 / $185.73 / $277.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.60 / $367.34 / $612.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.12 / $812.80 / $2,295.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.71 / $543.07 / $543.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.56 / $275.51 / $568.96