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Arkansas rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.03 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $54.95 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $169.82 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $52.48 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $75.86 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $57.54 / $100.00