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Ohio rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.73 / $87.94 / $233.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.15 / $70.78 / $137.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.75 / $103.75 / $103.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $94.57 / $233.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.36 / $30.76 / $40.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $81.52 / $103.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $46.38 / $122.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $78.02 / $147.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $56.19 / $122.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.07 / $79.23 / $146.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.46 / $109.12 / $152.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.94 / $95.21 / $158.94