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Kansas rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $189.70 / $231.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.10 / $293.10 / $293.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.47 / $269.49 / $599.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $266.33 / $1,529.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.97 / $244.47 / $367.59