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Maine rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.62 / $216.60 / $277.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.10 / $229.97 / $398.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.37 / $300.69 / $369.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.22 / $243.22 / $456.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.62 / $216.60 / $277.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.22 / $296.70 / $450.93