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Utah rates for HCPCS 96542

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $537.03 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $109.65 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $123.03 / $239.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $95.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $398.11 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $128.82 / $223.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $134.90 / $263.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $154.88 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $107.15 / $199.53