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Maine rates for HCPCS A9543

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,989.12 / $69,024.78 / $180,077.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $69,162.84 / $84,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $69,162.84 / $69,162.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $82,864.00
Martin's Point
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 / $98,319.73