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Maine rates for HCPCS 96425

Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.67 / $223.33 / $249.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.61 / $243.84 / $344.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.27 / $188.27 / $188.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.50 / $246.53 / $396.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.74 / $232.13 / $429.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.67 / $223.33 / $249.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.44 / $242.54 / $344.25