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Oklahoma rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.86 / $138.04 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $48.98 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $288.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $53.70 / $93.33
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.78 / $426.58 / $426.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $61.66 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $151.36 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $53.70 / $93.33