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Indiana rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.62 / $117.49 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $263.03 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $257.04