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Prolonged Chemotherapy Infusion Into An Artery, Via Pump

South Dakota rates for HCPCS 96425

This covers giving chemotherapy as a slow, continuous infusion directly into an artery over more than eight hours, delivered through a portable or surgically implanted pump rather than a simple IV bag. Delivering the medication directly into an artery that feeds a specific organ, such as the liver, allows a higher, more concentrated dose to reach the target area while limiting exposure elsewhere in the body. It is most often used for cancers that have spread to the liver.

Rates data updated July 2026.

How much does Prolonged Chemotherapy Infusion Into An Artery, Via Pump cost?

$275

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $389 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$195 to $355
FacilityA hospital or hospital-owned outpatient department$389$240 to $389

How much rates vary

Facilitymedian $389 · 10th to 90th $166 to $389Professionalmedian $263 · 10th to 90th $166 to $447
$100$200$500$1Kfacility $389professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$416.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$380.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$389.05

Where South Dakota sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 4th of 51

$275

MN $389KY $170

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.