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North Carolina rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.78 / $181.62 / $220.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.55 / $118.78 / $144.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.47 / $146.47 / $241.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.15 / $256.47 / $381.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.25 / $256.00 / $446.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $109.00 / $177.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.47 / $122.80 / $321.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.33 / $203.48 / $369.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.85 / $466.30 / $668.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.00 / $1,174.00 / $1,174.00