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Nebraska 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 / $80,165.60 / $80,165.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $65,094.44 / $65,094.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,575.62 / $90,778.63 / $177,011.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57,737.95 / $60,169.02 / $60,776.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,927.75 / $64,909.69 / $121,296.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $67,691.12 / $284,122.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,804.64 / $67,806.71 / $81,368.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,633.63 / $85,236.83 / $121,296.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57,633.63 / $84,037.67 / $130,334.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,416.37 / $67,806.71 / $74,587.38