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Montana rates for HCPCS A9543

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,535.48 / $67,535.48 / $67,535.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,372.72 / $99,000.00 / $342,649.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $80,546.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,372.72 / $99,000.00 / $342,649.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,072.05 / $69,162.84 / $90,125.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $67,806.71