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Idaho rates for HCPCS 96423

Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.81 / $155.81 / $155.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $103.00 / $107.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.09 / $115.92 / $148.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.83 / $108.15 / $132.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.04 / $123.72 / $133.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $94.12 / $106.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.63 / $115.33 / $188.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.19 / $108.46 / $125.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $106.72 / $142.72