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Delaware rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.83 / $171.19 / $393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.56 / $118.20 / $129.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.81 / $409.81 / $409.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $167.75 / $240.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.47 / $189.15 / $305.33