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Wisconsin rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $138.04 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $724.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.78 / $257.04 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $436.52 / $549.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $316.23 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $331.13 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $186.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $588.84
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $524.81 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $676.08 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $831.76 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $251.19 / $602.56