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Alaska rates for HCPCS A9543

Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109,846.87 / $109,846.87 / $109,846.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157,081.01 / $157,081.01 / $157,081.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48,209.84 / $48,209.84 / $68,871.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108,962.92 / $108,962.92 / $171,227.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103,774.20 / $148,248.85 / $244,610.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48,209.84 / $68,871.20 / $69,162.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $67,806.71