TABLE III.
Administration costs | CPT Code | Fee | Amount |
---|---|---|---|
First cycle | |||
Initial administration cost | 96413 | $172.81 | 1 |
Additional hour cost | 96415 | $39.03 | 4.4 |
Additional infusion cost | 96417 | $84.51 | 2 |
Total Cost | $513.56 | ||
Subsequent | |||
Initial administration cost | 96413 | $172.81 | 1 |
Additional hour cost | 96415 | $39.03 | 3.4 |
Additional infusion cost | 96417 | $84.51 | 2 |
Total Cost | $474.53 |