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Texas rates for HCPCS 96405

Chemotherapy administration; intralesional, up to and including 7 lesions

Facilitymedian $83 · 10th–90th $28–$2140%5%10th90th$83Professionalmedian $68 · 10th–90th $26–$1200%5%10%10th90th$68$10.0$20.0$50.0$100.0$200.0$500.0

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
$23.44 / $52.48 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $69.18 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $75.86 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $158.49 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $112.20
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $158.49
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $75.86 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $77.62 / $144.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $691.83 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $75.86 / $158.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $67.61 / $131.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $70.79
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $91.20 / $229.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $77.62 / $158.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $77.62 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $114.82 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $134.90
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $85.11 / $100.00