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South Dakota 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
$172.03 / $172.03 / $172.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.84 / $172.03 / $182.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.20 / $387.20 / $387.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.14 / $337.78 / $422.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.84 / $280.27 / $424.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.43 / $326.79 / $1,130.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.81 / $377.56 / $457.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.84 / $337.64 / $441.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.43 / $272.35 / $310.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.44 / $290.70 / $365.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.60 / $370.30 / $370.30