go back

California rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $197.62 / $1,095.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.09 / $310.49 / $627.66
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.82 / $228.72 / $514.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.97 / $275.58 / $546.51
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.26 / $207.79 / $280.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.60 / $212.49 / $390.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.71 / $1,575.61 / $1,575.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.10 / $282.97 / $542.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.54 / $630.54 / $630.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.04 / $199.16 / $241.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $225.13 / $560.39