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Arizona rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $177.00 / $1,095.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.36 / $143.96 / $287.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.07 / $248.00 / $362.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $201.63 / $1,529.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.04 / $201.63 / $374.12