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Vermont rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $57.54 / $85.11
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$602.56 / $602.56 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $616.60
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $229.09 / $616.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $77.62 / $162.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $660.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $114.82 / $177.83