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Delaware rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.63 / $120.47 / $120.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.53 / $141.07 / $141.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.83 / $51.58 / $51.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.21 / $175.31 / $237.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.54 / $60.41 / $96.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.10 / $212.43 / $334.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.44 / $78.65 / $124.86