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Idaho rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.87 / $177.03 / $240.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.27 / $236.17 / $301.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.26 / $92.77 / $103.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.79 / $236.85 / $271.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.70 / $80.61 / $93.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.70 / $282.06 / $351.31
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.93 / $91.14 / $104.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $72.84 / $258.82
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$484.26 / $484.26 / $484.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.13 / $298.66 / $351.31
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.60 / $110.29 / $122.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.76 / $160.74 / $287.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.17 / $62.36 / $104.66