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Michigan rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.77 / $229.37 / $277.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.01 / $203.18 / $342.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $257.85 / $395.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.85 / $171.19 / $281.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.45 / $81.02 / $184.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.65 / $216.08 / $308.81