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Texas rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $67.61 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $48.98 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $204.17
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $64.57 / $128.82
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$588.84 / $588.84 / $588.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,202.26 / $1,202.26
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$602.56 / $602.56 / $602.56
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $67.61 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $186.21 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $74.13 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $123.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $257.04 / $275.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $162.18 / $295.12
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $61.66 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $151.36 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $60.26 / $104.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $144.54
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $50.12 / $52.48