go back

Arizona rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.89 / $136.30 / $785.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.57 / $150.27 / $238.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.93 / $109.67 / $218.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.15 / $305.07 / $677.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.73 / $194.80 / $278.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.04 / $194.91 / $388.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.41 / $152.99 / $1,174.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.41 / $144.47 / $291.58