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Michigan 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
$65,094.44 / $65,094.44 / $65,094.44
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
$61,461.43 / $84,645.85 / $150,522.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,983.32 / $56,824.55 / $68,189.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,849.41 / $69,162.84 / $69,162.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,094.44 / $71,875.11 / $81,368.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $71,875.11 / $86,250.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $74,112.73