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New Jersey 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
$69,162.84 / $69,162.84 / $69,162.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $67,535.48 / $69,162.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,005.77 / $69,162.84 / $81,536.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $66,537.42 / $133,378.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,976.91 / $68,140.74 / $68,140.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,910.18 / $58,910.18 / $58,910.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $71,536.08