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North Dakota 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 / $65,094.44 / $65,094.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $67,535.48 / $81,368.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,197.05 / $71,553.03 / $72,471.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60,517.49 / $71,446.24 / $72,471.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,927.75 / $64,909.69 / $69,162.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,132.46 / $83,372.20 / $114,235.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,804.64 / $67,806.71 / $281,672.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $74,587.38