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North Dakota rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.70 / $197.62 / $277.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.12 / $386.02 / $450.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.86 / $324.80 / $454.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $384.96 / $1,529.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $349.56 / $482.43