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North Carolina rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.73 / $96.91 / $139.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.31 / $119.31 / $228.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.47 / $95.47 / $95.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.29 / $248.90 / $368.64
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.97 / $160.13 / $309.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $111.00 / $173.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.30 / $275.80 / $350.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.49 / $197.84 / $372.60
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$198.65 / $198.65 / $464.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.00 / $1,114.00 / $1,114.00