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Vermont rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $269.15
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$512.86 / $512.86 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $208.93 / $575.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $602.56