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Michigan rates for HCPCS 96542

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

Facilitymedian $166 · 10th–90th $56–$5500%20%10th90th$166Professionalmedian $105 · 10th–90th $40–$1820%10%10th90th$105$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
$54.95 / $69.18 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $107.15 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $426.58 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $66.07 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $117.49 / $239.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $162.18 / $346.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $125.89 / $199.53
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $107.15 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $537.03 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $107.15 / $199.53