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Ohio rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.37 / $228.90 / $641.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.56 / $124.37 / $263.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.88 / $605.49 / $691.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.62 / $194.44 / $297.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.62 / $76.26 / $180.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $82.24 / $133.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.62 / $556.14 / $889.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.44 / $194.30 / $343.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.62 / $556.14 / $889.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.07 / $189.62 / $343.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.40 / $98.71 / $180.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.37 / $164.52 / $295.02