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Nebraska rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $588.84 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $363.08 / $97,723.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,183.10 / $91,201.08 / $177,827.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $316.23 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $323.59 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $398.11