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Pennsylvania rates for HCPCS 96402

Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic

Professionalmedian $46 · 10th–90th $29$1580%5%10%10th90th$46$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $36.31 / $75.86
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $67.61
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $36.31 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $44.67 / $74.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $60.26 / $79.43
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $43.65 / $69.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $37.15 / $57.54
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $93.33
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $75.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $63.10 / $75.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $27.54 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $37.15 / $64.57