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Texas rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $131.91 / $298.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.83 / $207.52 / $277.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $209.70 / $373.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.71 / $1,575.61 / $1,575.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.87 / $272.20 / $357.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.63 / $137.27 / $283.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.93 / $214.38 / $393.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $201.63 / $316.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.80 / $159.87 / $224.26