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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
$83.18 / $83.19 / $383.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.60 / $143.13 / $170.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.73 / $53.62 / $70.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.18 / $194.05 / $335.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.47 / $74.59 / $145.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.86 / $197.60 / $197.60
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.47 / $76.18 / $76.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.77 / $126.11 / $212.56
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.41 / $53.65 / $119.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.83 / $174.82 / $290.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.34 / $64.78 / $112.93