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Virginia rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.00 / $172.73 / $277.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.50 / $239.88 / $337.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.66 / $322.38 / $1,065.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.15 / $277.83 / $496.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.22 / $222.24 / $233.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $179.00 / $349.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.89 / $222.10 / $410.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.52 / $254.96 / $411.04