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Wyoming rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.55 / $126.55 / $130.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.55 / $126.55 / $136.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $179.00 / $486.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.38 / $268.87 / $507.09