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Utah rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $141.25 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $234.42
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$457.09 / $457.09 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $281.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $208.93 / $338.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $125.89 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $234.42