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Pennsylvania rates for HCPCS 96402

Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $42.93 / $164.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.01 / $32.83 / $34.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $37.28 / $58.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $44.31 / $74.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.21 / $55.06 / $72.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $35.90 / $53.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $45.63 / $164.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $55.03 / $88.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $44.31 / $74.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.88 / $32.35 / $39.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $36.65 / $59.12