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Nebraska rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.27 / $126.27 / $126.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.27 / $126.27 / $785.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.86 / $670.61 / $1,297.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.12 / $247.03 / $253.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.06 / $729.06 / $729.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.31 / $305.63 / $382.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.27 / $301.66 / $650.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.15 / $267.69 / $1,174.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.27 / $278.95 / $537.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.31 / $311.07 / $389.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $99.25 / $246.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.93 / $257.89 / $330.63