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Ohio 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
$65,094.44 / $65,094.44 / $95,875.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $65,094.44 / $69,162.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,370.51 / $100,749.93 / $182,975.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,869.36 / $55,774.65 / $91,355.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $69,162.84 / $69,162.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $81,368.05
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $56,824.55 / $56,824.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $99,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $81,368.05