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New York rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.32 / $106.24 / $225.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.11 / $137.41 / $332.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.36 / $176.16 / $344.42
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.89 / $121.37 / $193.26
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
$98.03 / $202.83 / $412.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $179.73 / $277.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $126.35 / $234.06
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.32 / $152.32 / $152.32
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.47 / $95.47 / $95.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.16 / $204.93 / $436.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.11 / $164.15 / $378.08
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.44 / $89.44 / $282.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.88 / $180.49 / $387.70