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Kansas rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Facilitymedian $5,754 · 10th–90th $295$134,8960%10%20%10th90th$5,754Professionalmedian $302 · 10th–90th $295$3630%50%10th90th$302$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $11,481.54 / $134,896.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $302.00 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,025.60 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $478.63 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $338.84 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $323.59 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $338.84 / $398.11