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North Carolina rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.48 / $98,525.17 / $113,691.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.48 / $279.48 / $303.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.96 / $527.08 / $797.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.79 / $314.79 / $346.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.13 / $311.13 / $311.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.13 / $311.13 / $366.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.00 / $279.48 / $394.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.99 / $481.99 / $754.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.02 / $305.02 / $402.63
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.73 / $347.73 / $1,563.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.63 / $1,363.63 / $1,584.63