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Hawaii 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 / $125.18 / $125.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.46 / $239.45 / $299.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.55 / $315.36 / $386.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.69 / $212.84 / $248.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.45 / $308.42 / $314.02
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.58 / $312.67 / $520.99