go back

Washington rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.69 / $216.61 / $400.67
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.41 / $468.68 / $1,783.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.08 / $404.21 / $662.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.67 / $421.68 / $538.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $135.80 / $361.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.64 / $456.88 / $568.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.68 / $407.85 / $515.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $204.82 / $532.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.55 / $187.55 / $187.55