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South Carolina 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
$169.67 / $169.67 / $685.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.41 / $169.67 / $197.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.18 / $638.91 / $1,218.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $115.26 / $194.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.27 / $1,033.26 / $1,920.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.50 / $219.16 / $399.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.00 / $196.00 / $325.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $265.00 / $455.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.06 / $184.57 / $287.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.32 / $176.07 / $269.69