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Maine rates for HCPCS 96405

Chemotherapy Administration Intralesional </7

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $85.40 / $118.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $88.59 / $158.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $46.38 / $46.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.93 / $83.34 / $179.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.45 / $91.09 / $179.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $82.62 / $137.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.09 / $111.88 / $168.16