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Missouri 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 / $80,165.60 / $84,173.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $65,094.44 / $67,535.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,593.32 / $91,539.06 / $204,113.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,593.32 / $55,593.32 / $74,124.42
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,132.46 / $76,603.47 / $284,122.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57,635.70 / $67,806.71 / $82,927.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,450.58 / $67,806.71 / $78,452.36