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Tennessee 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
$66,537.39 / $67,535.48 / $116,441.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $67,535.48 / $67,535.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73,485.12 / $80,098.78 / $85,977.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,824.55 / $69,162.84 / $69,162.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76,603.47 / $284,122.75 / $284,122.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281,672.84 / $304,629.20 / $350,237.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $67,806.71