go back

Mississippi rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $436.52 / $104,712.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $42.66 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $512.86