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New Hampshire 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
Facility
Modifier
Low / Median / High Price
$188.27 / $552.91 / $552.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.29 / $222.13 / $249.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.26 / $268.17 / $429.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.39 / $533.45 / $1,378.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.04 / $307.55 / $483.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.74 / $293.00 / $585.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.06 / $267.82 / $390.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.90 / $176.28 / $259.13