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New York rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Facilitymedian $102 · 10th–90th $34$9770%10%10th90th$102Professionalmedian $100 · 10th–90th $29$2040%10%10th90th$100$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$34.67 / $104.71 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $75.86 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $77.62 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $177.83
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $93.33 / $234.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $64.57 / $120.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $181.97
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $107.15 / $194.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,047.13 / $1,148.15
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $154.88 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $123.03 / $436.52
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $75.86 / $95.50
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $93.33 / $194.98