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California rates for HCPCS A9543

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,535.48 / $67,535.48 / $67,535.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,143.95 / $67,535.48 / $67,535.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,140.74 / $90,765.85 / $201,352.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,625.00 / $67,806.71 / $70,047.59
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $54,962.76 / $144,814.85
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,961.80 / $31,374.00 / $76,480.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,804.64 / $66,804.64 / $80,165.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,299.64 / $284,122.75 / $284,122.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281,672.84 / $304,629.20 / $350,237.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $44,257.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,535.48 / $74,844.00 / $96,624.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $80,986.09
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $74,587.38 / $115,271.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $75,943.52