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New Jersey rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $182.11 / $216.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $259.32 / $452.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.31 / $231.45 / $231.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.59 / $161.76 / $291.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.96 / $229.69 / $385.33