go back

Oklahoma rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.88 / $158.52 / $197.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.55 / $183.67 / $272.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.44 / $213.66 / $1,529.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.62 / $201.63 / $372.12