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Louisiana 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
$81,368.05 / $81,368.05 / $81,368.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81,368.05 / $81,368.05 / $81,368.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,507.97 / $19,369.34 / $72,149.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72,149.02 / $72,149.02 / $73,592.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $74,756.89