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Minnesota 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
$65,094.44 / $67,535.48 / $81,368.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,225.00 / $65,476.58 / $180,220.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,200.00 / $31,500.00 / $31,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,004.86 / $66,541.78 / $165,398.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,447.03 / $65,948.24 / $69,162.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,927.75 / $66,986.80 / $189,432.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,927.75 / $51,927.75 / $64,909.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $80,165.58 / $135,979.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $90,047.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $74,587.38