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Illinois rates for HCPCS A9543

Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,094.44 / $65,094.44 / $238,355.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $65,094.44 / $69,162.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,849.63 / $456,606.48 / $1,011,798.46
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $72,477.21
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $41,285.19 / $42,430.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $71,942.92