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Nebraska rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $190.55 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $407.38 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $467.74