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Washington, DC rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.38 / $186.24 / $186.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.66 / $262.44 / $975.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $444.36 / $727.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.42 / $484.96 / $484.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.57 / $268.52 / $725.45