go back

New Hampshire rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $194.98 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $74.13 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $85.11 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $107.15 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $97.72 / $199.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $85.11 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $79.43 / $186.21
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $93.33 / $109.65