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Indiana rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $363.08