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West Virginia rates for HCPCS A9513

Lutetium Lu 177, dotatate, therapeutic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.13 / $311.13 / $457.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.13 / $311.13 / $311.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.02 / $305.02 / $311.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.13 / $311.13 / $447.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.02 / $305.02 / $441.76