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Pennsylvania 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
$69,162.84 / $69,162.84 / $86,538.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $69,162.84 / $69,162.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,255.43 / $77,299.64 / $96,624.56
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77,299.64 / $77,299.64 / $77,299.64
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $81,368.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $86,538.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $69,162.84 / $69,162.84
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,418.21 / $70,418.21 / $71,267.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70,418.21 / $70,418.21 / $71,267.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $81,368.05