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Utah rates for HCPCS 96405

Chemotherapy Administration Intralesional </7

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.79 / $105.23 / $105.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.02 / $76.59 / $135.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.32 / $94.21 / $151.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $86.05 / $110.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.57 / $133.57 / $194.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.13 / $64.06 / $142.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.84 / $94.00 / $141.00