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North Carolina 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
$41,686.94 / $63,095.73 / $63,095.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63,095.73 / $67,608.30 / $69,183.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,904.51 / $51,286.14 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,095.73 / $67,608.30 / $95,499.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $93,325.43 / $104,712.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,069.34 / $67,608.30 / $81,283.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281,838.29 / $281,838.29 / $281,838.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363,078.05 / $363,078.05 / $363,078.05