go back

Massachusetts rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.18 / $154.88 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $151.36 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $56.23 / $251.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.33 / $229.09 / $588.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $204.17 / $1,148.15
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $83.18 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $446.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $104.71 / $173.78
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $138.04 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $234.42 / $407.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $74.13 / $141.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $134.90
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.33 / $229.09 / $588.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $204.17 / $1,148.15
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $83.18 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $467.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $102.33 / $165.96