go back

Indiana 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
$64,132.50 / $148,249.00 / $148,249.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $65,094.44 / $65,094.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $113,649.10 / $155,955.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,625.00 / $19,625.00 / $48,081.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,198.81 / $85,951.13 / $99,174.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,116.25 / $70,248.52 / $89,256.94
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 / $81,368.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $71,875.11