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Oklahoma 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
$65,908.12 / $65,908.12 / $122,070.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $65,908.12 / $67,535.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $65,705.19 / $107,211.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,804.64 / $67,806.71 / $83,131.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $72,662.35