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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
$102.33 / $120.23 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $51.29 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $257.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $60.26 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $58.88 / $120.23