go back

Montana rates for HCPCS 96406

Chemotherapy administration; intralesional, more than 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.00 / $374.00 / $374.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.47 / $98.32 / $211.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.99 / $58.99 / $173.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.41 / $204.54 / $243.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.24 / $120.77 / $230.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.50 / $143.22 / $225.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.30 / $131.97 / $324.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.89 / $202.15 / $238.25