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Arizona 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
$64,565.42 / $67,608.30 / $69,183.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $95,499.26 / $141,253.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $275,422.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $79,432.82 / $281,838.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,608.30 / $67,608.30 / $281,838.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $93,325.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,069.34 / $67,608.30 / $67,608.30