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North Carolina rates for HCPCS A9543

Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,000.00 / $63,005.77 / $63,005.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63,005.77 / $63,005.77 / $69,162.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,909.44 / $38,909.44 / $51,879.25
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 / $81,368.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,553.34 / $63,005.77 / $88,182.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39,900.00 / $39,900.00 / $39,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $81,368.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,299.64 / $90,125.66 / $284,122.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304,629.20 / $304,629.20 / $350,237.97