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Oklahoma rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $125.89 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $125.89 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $269.15
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
$117.49 / $154.88 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $223.87