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Maine rates for HCPCS 96450

Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $169.82 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $177.83 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $173.78 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $194.98 / $426.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $724.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $204.17 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $177.83 / $331.13