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New York rates for HCPCS A9543

Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 mCi

Facilitymedian $64,565 · 10th–90th $56,234–$79,4330%50%10th90th$64,565Professionalmedian $67,608 · 10th–90th $56,234–$69,1830%50%10th90th$67,608$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $64,565.42 / $69,183.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63,095.73 / $67,608.30 / $69,183.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $58,884.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $67,608.30
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $63,095.73
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $60,255.96 / $128,824.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $120,226.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $72,443.60 / $75,857.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $72,443.60
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $93,325.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $66,069.34 / $67,608.30
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $72,443.60 / $75,857.76
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61,659.50 / $69,183.10 / $72,443.60