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Pennsylvania rates for HCPCS 79999

Radiopharmaceutical therapy, unlisted procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $676.08 / $676.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $630.96 / $1,148.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $676.08 / $831.76