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South Dakota 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
$81,368.05 / $81,368.05 / $81,368.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $81,368.05 / $81,368.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,927.75 / $64,909.69 / $64,909.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,453.59 / $103,173.10 / $197,688.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,804.64 / $67,806.71 / $76,157.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,125.26 / $84,037.67 / $102,633.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74,185.64 / $79,974.05 / $152,222.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $74,587.38
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,804.64 / $66,804.64 / $66,804.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,804.64 / $66,804.64 / $66,804.64