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Nebraska rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Facilitymedian $589 · 10th–90th $316$91,2010%20%10th90th$589Professionalmedian $309 · 10th–90th $295$97,7240%50%10th90th$309$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
$524.81 / $588.84 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $97,723.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $91,201.08 / $177,827.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $338.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $316.23 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $323.59 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $338.84 / $398.11