go back

Indiana rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.12 / $181.15 / $197.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.87 / $278.83 / $395.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.54 / $108.75 / $211.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.49 / $312.14 / $455.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $229.91 / $368.39