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Virginia rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Facilitymedian $617 · 10th–90th $309–$1,1220%10%20%10th90th$617Professionalmedian $309 · 10th–90th $295–$4170%50%10th90th$309$5.0$20.0$100.0$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
$309.03 / $676.08 / $169,824.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $302.00 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $489.78
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $676.08 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $380.19 / $457.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $549.54
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $398.11 / $489.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $398.11 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $354.81 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $338.84 / $371.54