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Chemotherapy Delivered Into The Spinal Fluid

Massachusetts rates for HCPCS 96450

This service delivers chemotherapy medication directly into the fluid surrounding the spinal cord and brain by way of a spinal puncture, commonly called a spinal tap. Giving chemotherapy this way, known as intrathecal administration, treats or prevents cancer that has spread to, or is at risk of spreading to, the central nervous system. The spinal puncture itself is included as part of this administration service.

Facilitymedian $251 · 10th–90th $87$8130%10%10th90th$251Professionalmedian $182 · 10th–90th $79$5010%10%10th90th$182$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$295.12
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$177.83
Typical High
$575.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$741.31
AllWays Health Partners
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$263.03
Typical High
$616.60
BCBS
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$223.87
Median
$263.03
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$194.98
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$724.44
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$398.11
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$67.61
Typical High
$141.25
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$281.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$407.38
Health New England
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,348.96
Typical High
$2,041.74
Health New England
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$741.31
Mass General Brigham
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$190.55
Typical High
$436.52