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Oregon rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $204.17 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $61.66 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $117.49 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $331.13 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $208.93 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $123.03 / $151.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $281.84 / $467.74
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $125.89 / $169.82
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.36 / $181.97 / $186.21
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $87.10 / $107.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $416.87
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $109.65 / $154.88
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$812.83 / $812.83 / $812.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $398.11
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $107.15 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $64.57 / $144.54