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Illinois rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $63.10 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $75.86 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $223.87 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $89.13 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $131.83 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $81.28 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $117.49 / $288.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $35.48 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $190.55 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $67.61 / $144.54