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New Hampshire 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
$68,140.70 / $68,140.70 / $81,768.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80,412.42 / $122,052.08 / $257,778.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,804.64 / $69,162.84 / $69,162.84
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 / $69,162.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $100,382.95 / $213,471.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $69,162.84