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Maryland rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.85 / $186.24 / $240.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.66 / $206.73 / $322.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.69 / $254.81 / $461.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.14 / $224.64 / $373.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.22 / $219.52 / $440.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.04 / $200.26 / $242.79