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Tennessee 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 / $158.69 / $277.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.25 / $247.00 / $372.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.96 / $280.87 / $475.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.71 / $1,575.61 / $1,575.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.31 / $229.58 / $513.79