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New York 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 / $180.26 / $344.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $198.68 / $498.58
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.18 / $149.12 / $263.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.17 / $283.19 / $577.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.78 / $231.45 / $351.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $199.68 / $364.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.80 / $289.06 / $577.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.40 / $225.58 / $507.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.87 / $253.80 / $603.77