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Connecticut rates for HCPCS G0498

Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion

Facilitymedian $447 · 10th–90th $324$9120%20%40%10th90th$447Professionalmedian $182 · 10th–90th $155$2950%50%10th90th$182$0.0$0.2$2.0$20.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$181.97
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$933.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$512.86