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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
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $134.90 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $380.19 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $295.12