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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
$188.10 / $188.10 / $1,095.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.16 / $389.37 / $400.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.24 / $400.23 / $498.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.85 / $361.77 / $1,529.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.27 / $399.23 / $496.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $146.63 / $303.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.85 / $354.31 / $454.25