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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
$572.53 / $638.86 / $699.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $165.97 / $260.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $184.21 / $341.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.64 / $124.64 / $124.64
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$99.71 / $99.71 / $99.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.99 / $171.93 / $373.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.39 / $194.97 / $348.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.53 / $638.86 / $699.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.90 / $141.63 / $271.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.40 / $256.10 / $328.66