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Arkansas rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.18 / $234.94 / $344.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.67 / $251.03 / $278.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.14 / $276.38 / $372.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.23 / $249.08 / $372.40