go back

Michigan rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $131.83 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $380.19 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $323.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $338.84 / $537.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $151.36 / $204.17
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $380.19 / $389.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $147.91 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $239.88 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $229.09