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North Carolina rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.40 / $140.40 / $277.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.55 / $344.09 / $510.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $139.00 / $243.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.95 / $154.51 / $341.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.36 / $271.98 / $531.64
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.61 / $1,575.61 / $1,575.61