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Utah rates for HCPCS 96406

Chemotherapy administration; intralesional, more than 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $109.65 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $125.89 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $398.11 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $112.20 / $208.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $134.90 / $295.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $151.36 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $107.15 / $181.97