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Virginia rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $121.90 / $356.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.76 / $121.90 / $148.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.04 / $497.85 / $650.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.25 / $149.88 / $212.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.93 / $260.00 / $761.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.41 / $185.32 / $1,058.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.36 / $197.33 / $340.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.50 / $169.51 / $178.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.66 / $201.14 / $325.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $141.00 / $266.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.92 / $126.33 / $267.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $173.12 / $317.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.37 / $186.80 / $293.26