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Missouri rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.28 / $120.23 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $138.04 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $162.18 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $158.49 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $263.03
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $467.74 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $269.15