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Kentucky rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $457.09 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $354.81 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $467.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,659.59 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $363.08