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Georgia rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $316.23 / $79,432.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $524.81 / $1,819.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $363.08 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $676.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $851.14 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $575.44 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $436.52