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New Jersey rates for HCPCS 96542

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

Facilitymedian $389 · 10th–90th $145–$1,5140%5%10%10th90th$389Professionalmedian $123 · 10th–90th $40–$2290%5%10th90th$123$5.0$20.0$100.0$500.0

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
$144.54 / $380.19 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $104.71 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $758.58 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $138.04 / $288.40
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $190.55 / $275.42
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,122.02 / $1,698.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $213.80 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $109.65 / $223.87