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Utah rates for HCPCS 96402

Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $41.69 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $81.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $66.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $45.71 / $91.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $72.44 / $87.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $51.29 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $56.23