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Pennsylvania rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $182.11 / $277.14
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.72 / $174.05 / $351.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.88 / $241.89 / $384.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.62 / $256.92 / $295.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.77 / $186.24 / $359.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.80 / $169.54 / $343.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.88 / $249.42 / $390.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.01 / $193.12 / $259.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.73 / $240.33 / $355.22