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Missouri rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.97 / $195.57 / $277.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.91 / $223.86 / $388.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.47 / $273.77 / $389.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.97 / $268.58 / $1,529.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.77 / $250.47 / $433.44