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CPT code 96420: Chemotherapy push, intra-arterial route2026 Medicare rate & RVUs in South Dakota

Reports chemotherapy delivered by a direct intra-arterial push, rather than by arterial infusion or an injection through another route.

CMS RVU26DEffective Oct 1, 2026One payment locality85 Medicare services in 2024

In South Dakota, Medicare pays $103.88 for 96420 in the office.

$103.88Office (non-facility)
Not available in this settingHospital or facility
−1.3%vs the national office rate ($105.21)

Check a contract rate as a % of Medicare · 96420 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 96420 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 96420 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 96420 covers

96420 describes chemotherapy delivered directly into an artery using a push technique. It may be used when an oncology team administers a drug through an arterial catheter for regional treatment, such as chemotherapy directed to the liver through its arterial supply. The service is the drug administration, not the catheter placement. It is distinct from an infusion, in which medication is delivered over time.

Select the code based on the arterial route and push method documented for the encounter. The record should identify the drug, the route of administration, and that it was administered by push; report the drug separately when applicable. Medicare treats this as an incident-to service: it may be billed only when performed under physician supervision.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 96420

Across 109 of 109 payment localities, the office rate for 96420 runs from $90.49 in Arkansas to $148.02 in San Benito County, CA. South Dakota pays $103.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

96420 in South Dakota vs other payment areas
  1. South Dakota · this page$103.88
  2. Los Angeles, CA · California$122.62+$18.74
  3. Washington, DC area · District of Columbia$123.11+$19.23
  4. Miami, FL · Florida$112.28+$8.40
  5. Chicago, IL · Illinois$108.34+$4.46
  6. Manhattan, NY · New York$122.55+$18.67
  7. Alaska · Alaska$113.49+$9.61

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

96420 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$92.15—
ArkansasArkansas$90.49—
ArizonaArizona$101.90—
Bakersfield, CACalifornia$113.90—
Chico, CACalifornia$113.74—
El Centro, CACalifornia$113.75—
Fresno, CACalifornia$113.74—
Hanford, CACalifornia$113.74—

96420 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$90.49

$130.88

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
96420 office rate range by state
State / territoryOffice rate rangeLocalities
AK$113.491
AL$92.151
AR$90.491
AZ$101.901
CA$113.74–$148.0229
CO$111.081
CT$113.261
DC$123.111
DE$103.871
FL$101.93–$112.283
GA$95.06–$107.192
GU$117.731
HI$117.731
IA$95.711
ID$96.351
IL$97.86–$109.434
IN$97.061
KS$94.861
KY$94.221
LA$93.91–$99.732
MA$110.07–$124.152
MD$106.28–$123.113
ME$96.65–$103.602
MI$96.99–$103.172
MN$106.631
MO$91.70–$100.543
MS$91.131
MT$105.211
NC$97.951
ND$104.021
NE$96.461
NH$108.961
NJ$114.61–$121.312
NM$97.521
NV$104.981
NY$99.74–$125.735
OH$96.741
OK$94.331
OR$104.23–$115.622
PA$97.11–$109.702
PR$106.261
RI$108.321
SC$97.501
SD$103.881
TN$95.411
TX$96.29–$110.658
UT$99.161
VA$102.97–$123.112
VI$106.261
VT$103.251
WA$109.98–$127.272
WI$99.731
WV$93.301
WY$104.691

See 96420 in every payment locality

How the 96420 rate is calculated

Each of 96420’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 96420

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense2.92

2.92 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

3.1500

Conversion factor

$33.4009

Medicare rate

$105.21

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,805

Code
96420
Physician work
0.17
Practice expense
2.92
Malpractice
0.06

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 96420 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense2.92× 1.0002.9200
Malpractice0.06× 0.3360.0202
Total RVUs3.1102
Conversion factor× 33.4009

Office rate, South Dakota$103.88

Office: (0.17 × 1 + 2.92 × 1 + 0.06 × 0.336) × $33.4009 = $103.88

Open 96420 in the RVU calculator

Payment rules and modifiers for 96420

The CMS indicators that decide how 96420 is paid alongside other services.

CMS payment indicators · 96420

Chemotherapy push, intra-arterial route

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

Codes related to 96420

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 96420
CodeHow it relatesOffice range, South Dakota
Same family
96422Arterial infusion, up to one hourIntra-arterial chemotherapy by infusion rather than push.$138.73
96423Chemotherapy infusion, intra-arterial, each additional hourAdditional-hour intra-arterial chemotherapy infusion code.$74.38
Used instead
96409Chemotherapy push, single or initial drugChemotherapy by intravenous push, rather than intra-arterial push.$103.21
96401Chemotherapy injection, subcutaneous or intramuscular, nonhormonalChemotherapy administered subcutaneously or intramuscularly, rather than into an artery.$70.92

How 96420 has changed in South Dakota

96420 · Office / nonfacility

$103.88

Effective 2026-10-01

The base rate is $10.43 higher than on 2025-10-01, moving from $93.45 to $103.88 (11.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $93.45changed to$103.88

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.70 changed to 2.92
    • Malpractice RVU 0.05 changed to 0.06
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $100.63changed to$93.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.83 changed to 2.70
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $98.98changed to$100.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $102.74changed to$98.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.84 changed to 2.83
    • Malpractice GPCI 0.364 changed to 0.382

  5. January 1, 2023

    RVU23A

    $108.93changed to$102.74

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.95 changed to 2.84
    • Malpractice RVU 0.08 changed to 0.06
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $114.13changed to$108.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.08 changed to 2.95
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $103.69changed to$114.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.67 changed to 3.08
    • Malpractice RVU 0.09 changed to 0.06
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $104.55changed to$103.69

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.70 changed to 2.67
    • Malpractice RVU 0.08 changed to 0.09
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $106.24changed to$104.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.75 changed to 2.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $106.15changed to$106.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.76 changed to 2.75
    • Malpractice RVU 0.07 changed to 0.08
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $104.83changed to$106.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.73 changed to 2.76
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $103.63changed to$104.83

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.69 changed to 2.73
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $103.12changed to$103.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $102.57changed to$103.12

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.66 changed to 2.69
    • Malpractice RVU 0.08 changed to 0.06
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $105.97changed to$102.57

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.91 changed to 2.66
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $105.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$103.88Not available in this settingRVU26D
2026-07-01$103.88Not available in this settingRVU26C
2026-04-01$103.88Not available in this settingRVU26B
2026-01-01$103.88Not available in this settingRVU26A
2025-10-01$93.45Not available in this settingRVU25D
2025-07-01$93.45Not available in this settingRVU25C
2025-04-01$93.45Not available in this settingRVU25B
2025-01-01$93.45Not available in this settingRVU25A
2024-10-01$100.63Not available in this settingRVU24D
2024-07-01$100.63Not available in this settingRVU24C
2024-04-01$100.63Not available in this settingRVU24B
2024-03-09$100.63Not available in this settingRVU24AR
2024-01-01$98.98Not available in this settingRVU24A
2023-10-01$102.74Not available in this settingRVU23D
2023-07-01$102.74Not available in this settingRVU23C
2023-04-01$102.74Not available in this settingRVU23B
2023-01-01$102.74Not available in this settingRVU23A
2022-10-01$108.93Not available in this settingRVU22D
2022-07-01$108.93Not available in this settingRVU22C
2022-04-01$108.93Not available in this settingRVU22B
2022-01-01$108.93Not available in this settingRVU22A
2021-10-01$114.13Not available in this settingRVU21D
2021-07-01$114.13Not available in this settingRVU21C
2021-04-01$114.13Not available in this settingRVU21B
2021-01-01$114.13Not available in this settingRVU21A
2020-10-01$103.69Not available in this settingRVU20D
2020-07-01$103.69Not available in this settingRVU20C
2020-04-01$103.69Not available in this settingRVU20B
2020-01-01$103.69Not available in this settingRVU20A
2019-10-01$104.55Not available in this settingRVU19D
2019-07-01$104.55Not available in this settingRVU19C
2019-04-01$104.55Not available in this settingRVU19B
2019-01-01$104.55Not available in this settingRVU19A
2018-10-01$106.24Not available in this settingRVU18D
2018-07-01$106.24Not available in this settingRVU18C
2018-04-01$106.24Not available in this settingRVU18B
2018-01-01$106.24Not available in this settingRVU18AR1
2017-10-01$106.15Not available in this settingRVU17D
2017-07-01$106.15Not available in this settingRVU17C
2017-04-01$106.15Not available in this settingRVU17B
2017-01-01$106.15Not available in this settingRVU17A
2016-10-01$104.83Not available in this settingRVU16D
2016-07-01$104.83Not available in this settingRVU16C
2016-04-01$104.83Not available in this settingRVU16B
2016-01-01$104.83Not available in this settingRVU16A
2015-10-01$103.63Not available in this settingRVU15D
2015-07-01$103.63Not available in this settingRVU15C
2015-04-01$103.12Not available in this settingRVU15B
2015-01-01$103.12Not available in this settingRVU15A
2014-10-01$102.57Not available in this settingRVU14D
2014-07-01$102.57Not available in this settingRVU14C
2014-04-01$102.57Not available in this settingRVU14B
2014-01-01$102.57Not available in this settingRVU14A
2013-10-01$105.97Not available in this settingRVU13D
2013-07-01$105.97Not available in this settingRVU13C
2013-04-01$105.97Not available in this settingRVU13B
2013-01-01$105.97Not available in this settingRVU13AR

Price 96420 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

96420 billing questions

When should 96420 be chosen instead of 96422?

Use 96420 for chemotherapy delivered into an artery by push. Use 96422 when the arterial administration is performed by infusion.

Is 96420 appropriate for an intravenous push?

No. 96420 is for the intra-arterial route; 96409 describes chemotherapy administered by intravenous push.

What documentation supports reporting 96420?

Document the chemotherapy drug, the arterial route, and that the drug was administered using a push technique. The record should also support the required physician supervision.

Does Medicare require physician supervision for this service?

Yes. CMS identifies 96420 as an incident-to service, so it is billed only when performed under physician supervision.

Does 96420 include the chemotherapy drug?

The code represents administration. Report the drug separately when applicable.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 96420PPRRVU2026_Oct_nonQPP.csv, line 12,805 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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