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Nationwide rates for HCPCS A9513

Lutetium Lu 177 Dotate Therapeutic 1 Millicurie(Reinstated Code) Supply Of Radiopharmaceutical Diagnostic Imaging Agent Technitium Tc-99m Mebrofenin Per Mci (Old Description Deleted 12/31/2005)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.02 / $446.78 / $1,108.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.82 / $303.80 / $311.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.29 / $517.29 / $974.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.82 / $305.02 / $330.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.13 / $311.13 / $311.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.13 / $311.13 / $311.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.33 / $274.33 / $274.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.02 / $305.02 / $366.03