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West Virginia rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.27 / $125.27 / $125.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.51 / $120.51 / $125.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.47 / $146.47 / $299.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.72 / $187.43 / $872.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.47 / $191.36 / $400.83