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Wisconsin rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.42 / $248.17 / $359.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.25 / $380.83 / $1,047.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.36 / $737.73 / $838.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.38 / $504.73 / $1,529.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.97 / $122.26 / $318.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.50 / $402.29 / $800.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.80 / $931.25 / $1,529.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.90 / $1,287.89 / $1,287.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.38 / $454.82 / $1,045.44