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Maine rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $79.43 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $91.20 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $85.11 / $181.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $93.33 / $223.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $85.11 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $75.86 / $154.88