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Pennsylvania rates for HCPCS A9543

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

Facilitymedian $77,625 · 10th–90th $56,234–$288,4030%20%10th90th$77,625Professionalmedian $69,183 · 10th–90th $64,565–$69,1830%50%10th$69,183$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$69,183.10 / $87,096.36 / $426,579.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64,565.42 / $69,183.10 / $69,183.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $77,624.71 / $97,723.72
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77,624.71 / $77,624.71 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $239,883.29 / $257,039.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51,286.14 / $107,151.93 / $109,647.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64,565.42 / $69,183.10 / $69,183.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $70,794.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $70,794.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $81,283.05