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Massachusetts rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Facilitymedian $437 · 10th–90th $309$1,0470%20%10th90th$437Professionalmedian $339 · 10th–90th $295$4370%20%40%10th90th$339$100.0$500.0$2.0K$10.0K$50.0K

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
$309.03 / $436.52 / $69,183.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $371.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $870.96 / $1,047.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $489.78 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $549.54
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $66,069.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $870.96 / $1,047.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $323.59 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $398.11