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New Mexico 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
$77,624.71 / $77,624.71 / $77,624.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,565.42 / $67,608.30 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $21,379.62 / $37,153.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,069.34 / $69,183.10 / $138,038.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $85,113.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,069.34 / $67,608.30 / $67,608.30