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New Hampshire rates for HCPCS 96405

Chemotherapy Administration Intralesional </7

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.09 / $122.36 / $271.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $80.16 / $118.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.16 / $268.16 / $268.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $79.56 / $176.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.79 / $108.21 / $279.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $101.55 / $206.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.77 / $95.16 / $255.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.16 / $125.03 / $218.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.22 / $66.70 / $100.59