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Indiana rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $204.86 / $711.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.40 / $123.16 / $161.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.34 / $213.14 / $495.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.39 / $213.14 / $297.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.59 / $96.89 / $169.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $85.71 / $163.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.11 / $115.40 / $205.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.35 / $232.64 / $354.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.19 / $167.17 / $280.33