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Kentucky rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Facilitymedian $47 · 10th–90th $27–$1700%20%10th90th$47Professionalmedian $71 · 10th–90th $28–$1380%10%10th90th$71$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
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $75.86 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $72.44 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $70.79 / $123.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $30.20 / $42.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $87.10 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $33.11 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $60.26 / $125.89