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New York 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
$56,143.95 / $64,132.50 / $69,162.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,143.95 / $67,535.48 / $69,162.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,459.64 / $45,459.64 / $56,824.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61,770.36 / $67,806.71 / $67,806.71
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,832.34 / $56,832.34 / $56,832.34
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,832.34 / $56,832.34 / $56,832.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,387.76 / $60,139.40 / $69,162.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $112,043.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58,788.41 / $69,162.84 / $69,162.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,162.84 / $71,875.11 / $71,875.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $71,875.11 / $71,875.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $60,139.40 / $69,162.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $81,368.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,787.81 / $69,162.84 / $69,162.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,130.00 / $69,162.84 / $71,875.11