go back

West Virginia rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.13 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $54.95 / $95.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.39 / $104.71 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $416.87 / $891.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $123.03 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $169.82 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $70.79 / $141.25