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Idaho rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.63 / $50.63 / $162.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $84.25 / $117.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $64.56 / $148.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.75 / $84.90 / $150.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $131.29 / $159.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $113.72 / $143.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.77 / $158.40 / $225.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $79.94 / $142.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.78 / $117.01 / $152.75