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Utah rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.52 / $222.18 / $1,095.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $262.93 / $385.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $77.63 / $168.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.82 / $360.32 / $394.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $250.45 / $323.39