go back

Alaska rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.39 / $391.39 / $391.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.06 / $431.06 / $785.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.59 / $453.59 / $456.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.41 / $616.41 / $616.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.93 / $380.40 / $686.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.75 / $526.50 / $717.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.54 / $590.54 / $616.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.69 / $487.50 / $870.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.03 / $365.04 / $547.55