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New Jersey rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$245.47 / $446.68 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $56.23 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $194.98 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $77.62 / $144.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $190.55 / $199.53
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $72.44 / $77.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $309.03
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $61.66 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $64.57 / $117.49