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South Dakota 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
$74.23 / $74.23 / $74.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.54 / $74.23 / $79.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.20 / $167.20 / $167.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.38 / $145.86 / $182.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.54 / $120.90 / $186.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $141.83 / $484.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.84 / $162.10 / $196.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $147.90 / $193.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $117.45 / $133.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $132.90 / $154.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $159.69 / $159.69