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Kentucky 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 / $185.69 / $241.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.86 / $213.10 / $401.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.98 / $107.11 / $215.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.26 / $301.74 / $501.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $169.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $231.35 / $271.83