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Illinois rates for HCPCS 96542

Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents

Facilitymedian $135 · 10th–90th $45–$5010%10%10th90th$135Professionalmedian $112 · 10th–90th $42–$2190%5%10%10th90th$112$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $97.72 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $109.65 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $109.65 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $407.38 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $125.89 / $251.19
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $190.55 / $446.68
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $51.29 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $776.25 / $1,148.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $109.65 / $229.09