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Wisconsin rates for HCPCS 96402

Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $46.77 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $60.26 / $123.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $44.67 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $79.43 / $134.90
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $58.88 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $91.20 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $151.36 / $316.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $91.20