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Oklahoma rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $105.61 / $191.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $123.16 / $133.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.59 / $52.59 / $52.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.87 / $144.74 / $232.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.61 / $190.26 / $472.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.20 / $160.21 / $1,174.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.41 / $152.99 / $266.50