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Idaho rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.48 / $277.14 / $329.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.08 / $296.16 / $357.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $329.94 / $466.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $110.64 / $303.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.07 / $429.49 / $473.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.04 / $204.82 / $366.51