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Ohio rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $197.29 / $314.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.80 / $239.66 / $363.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $93.16 / $172.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.10 / $262.80 / $464.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.74 / $262.80 / $464.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.54 / $98.98 / $226.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.38 / $222.50 / $388.66