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Missouri rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.80 / $129.68 / $299.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.55 / $125.79 / $161.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.18 / $181.02 / $313.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.76 / $223.86 / $875.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.41 / $201.95 / $290.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.87 / $240.25 / $650.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.33 / $208.12 / $1,174.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $193.59 / $312.19