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Vermont rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.93 / $211.93 / $211.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.11 / $301.39 / $843.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.11 / $301.39 / $843.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.94 / $332.15 / $897.35