go back

South Dakota rates for HCPCS 96450

Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $165.96 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $165.96 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $204.17 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $169.82 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $309.03 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $363.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $218.78 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $173.78 / $354.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $177.83 / $363.08