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North Dakota rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $87.10 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $138.04 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $257.04 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $257.04 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $251.19 / $354.81