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Montana rates for HCPCS A9543

Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 mCi

Facilitymedian $81,283 · 10th–90th $1,585–$162,1810%50%10th90th$81,283Professionalmedian $67,608 · 10th–90th $64,565–$81,2830%50%10th90th$67,608$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64,565.42 / $67,608.30 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $100,000.00 / $338,844.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $81,283.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $81,283.05 / $83,176.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $81,283.05 / $83,176.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $91,201.08 / $338,844.16
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $58,884.37 / $112,201.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $67,608.30