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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
$144.54 / $208.93 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $851.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $891.25