go back

Idaho 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
$76,157.30 / $76,157.30 / $76,157.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $69,976.52 / $76,157.30
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,010.63 / $69,162.84 / $88,528.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $56,563.44 / $144,181.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,476.58 / $98,214.87 / $166,965.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76,157.30 / $91,388.76 / $95,196.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $67,806.71