CPT code 96425: Chemotherapy infusion, prolonged intra-arterial pump2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $174.01 for 96425 in the office.

Check a contract rate as a % of Medicare · 96425 nationwide

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

What 96425 covers

This service covers starting a prolonged chemotherapy infusion into an artery using a portable or implantable pump. It may be used for arterial drug delivery, including liver-directed treatment through an implanted hepatic artery infusion pump. Oncology physicians and supervised clinical staff may provide the service in an outpatient treatment setting when the treatment plan calls for this route and prolonged delivery method.

Select the code when the arterial infusion is initiated and the planned administration exceeds eight hours using the required pump method; an arterial push or shorter infusion has a different code. Document the drug, intra-arterial route, pump method, and infusion plan or duration. The code represents the administration service, rather than the chemotherapy drug itself. Under the CMS rule for this code, it is billed only when performed under physician supervision as an incident-to service.

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 Montana compares for 96425

Across 109 of 109 payment localities, the office rate for 96425 runs from $149.02 in Arkansas to $245.72 in San Benito County, CA. Montana pays $174.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

96425 rates by state

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

See 96425 in every payment locality

How the 96425 rate is calculated

Each of 96425’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.

Payment rules and modifiers for 96425

The CMS indicators that decide how 96425 is paid alongside other services.

Codes related to 96425

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

How 96425 has changed in Montana

Price 96425 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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

Open CMS sourceHow we calculate rates