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New Hampshire rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Facilitymedian $550 · 10th–90th $309$1,4450%10%10th90th$550Professionalmedian $339 · 10th–90th $295$5500%20%40%10th90th$339$500.0$1.0K$2.0K$5.0K$10.0K

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 / $309.03 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $851.14 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $724.44 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $338.84 / $338.84
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $8,709.64 / $11,748.98