# CPT 96425: Chemotherapy administration, intra-arterial infusion, prolonged with pump

Medicare CPT 96425 pays $174.02 in a non-facility setting and $174.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $149.02 in Arkansas to $204.05 in District of Columbia, a 37% spread.

Web page: https://www.med-reveal.com/rates/96425-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $174.02 |
| National facility | $174.02 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $204.05 | $204.05 |
| California | $202.72 | $202.72 |
| Washington | $196.48 | $196.48 |
| New Jersey | $195.36 | $195.36 |
| Hawaii | $195.03 | $195.03 |
| New York | $194.64 | $194.64 |
| Massachusetts | $193.94 | $193.94 |
| Connecticut | $187.58 | $187.58 |
| Alaska | $185.91 | $185.91 |
| Colorado | $183.82 | $183.82 |
| Oregon | $181.86 | $181.86 |
| Maryland | $181.38 | $181.38 |
| New Hampshire | $180.31 | $180.31 |
| Rhode Island | $179.16 | $179.16 |
| Florida | $178.05 | $178.05 |
| Minnesota | $176.21 | $176.21 |
| Puerto Rico | $175.77 | $175.77 |
| Virgin Islands | $175.77 | $175.77 |
| Montana | $174.01 | $174.01 |
| Nevada | $173.57 | $173.57 |
| Wyoming | $173.06 | $173.06 |
| North Dakota | $171.84 | $171.84 |
| Illinois | $171.83 | $171.83 |
| Delaware | $171.70 | $171.70 |
| South Dakota | $171.58 | $171.58 |
| Texas | $171.24 | $171.24 |
| Pennsylvania | $170.95 | $170.95 |
| Vermont | $170.56 | $170.56 |
| Virginia | $170.14 | $170.14 |
| Arizona | $168.38 | $168.38 |
| Georgia | $167.18 | $167.18 |
| Michigan | $165.48 | $165.48 |
| Maine | $165.32 | $165.32 |
| Wisconsin | $164.56 | $164.56 |
| Utah | $163.76 | $163.76 |
| North Carolina | $161.66 | $161.66 |
| New Mexico | $161.09 | $161.09 |
| South Carolina | $160.95 | $160.95 |
| Missouri | $160.40 | $160.40 |
| Indiana | $160.11 | $160.11 |
| Louisiana | $159.87 | $159.87 |
| Ohio | $159.72 | $159.72 |
| Nebraska | $159.05 | $159.05 |
| Idaho | $158.91 | $158.91 |
| Iowa | $157.81 | $157.81 |
| Tennessee | $157.33 | $157.33 |
| Kansas | $156.39 | $156.39 |
| Oklahoma | $155.58 | $155.58 |
| Kentucky | $155.43 | $155.43 |
| West Virginia | $154.03 | $154.03 |
| Alabama | $151.84 | $151.84 |
| Mississippi | $150.17 | $150.17 |
| Arkansas | $149.02 | $149.02 |

## Related codes

- 96360: Intravenous infusion, hydration, initial 31 minutes to 1 hour — https://www.med-reveal.com/rates/96360-cpt-fee-schedule
- 96361: Intravenous infusion, hydration, each additional hour (add-on) — https://www.med-reveal.com/rates/96361-cpt-fee-schedule
- 96365: Intravenous infusion, for therapy/prophylaxis/diagnosis, initial, up to 1 hour — https://www.med-reveal.com/rates/96365-cpt-fee-schedule
- 96366: Intravenous infusion, therapy, each additional hour (add-on) — https://www.med-reveal.com/rates/96366-cpt-fee-schedule
- 96367: Intravenous infusion, additional sequential infusion, up to 1 hour (add-on) — https://www.med-reveal.com/rates/96367-cpt-fee-schedule
- 96368: Intravenous infusion, concurrent infusion (add-on) — https://www.med-reveal.com/rates/96368-cpt-fee-schedule
- 96369: Subcutaneous infusion for therapy/prophylaxis, initial, up to 1 hour — https://www.med-reveal.com/rates/96369-cpt-fee-schedule
- 96370: Subcutaneous infusion, each additional hour (add-on) — https://www.med-reveal.com/rates/96370-cpt-fee-schedule

Commercial negotiated rates for 96425 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules