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South Carolina rates for HCPCS A9543

Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,721.80 / $66,721.80 / $66,721.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63,005.77 / $66,721.80 / $66,721.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,976.08 / $90,071.99 / $155,349.59
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,553.34 / $54,425.60 / $88,182.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $67,806.71