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Iowa 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
$80,165.60 / $80,165.60 / $225,637.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $65,094.44 / $80,165.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,927.75 / $64,909.69 / $74,185.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $50,047.48 / $50,047.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $78,123.55 / $108,383.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $102,633.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,125.26 / $91,487.53 / $132,992.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35,125.26 / $84,037.67 / $132,992.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $71,936.14
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,804.64 / $66,804.64 / $66,804.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,775.67 / $66,804.64 / $66,804.64