go back

Wyoming rates for HCPCS 79403

Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.97 / $161.97 / $164.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.00 / $835.00 / $835.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.96 / $251.39 / $678.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.28 / $334.18 / $627.01