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Hawaii rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.84 / $155.08 / $182.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.41 / $90.41 / $90.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.58 / $182.45 / $216.73
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.12 / $190.99 / $270.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $162.18 / $189.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $223.10 / $234.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.26 / $230.92 / $373.71