go back

Texas 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
$65,094.44 / $66,721.80 / $73,625.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $66,721.80 / $69,162.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,899.25 / $137,501.51 / $272,676.55
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,299.64 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,535.48 / $80,165.58 / $163,562.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,765.57 / $67,765.57 / $73,939.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,535.48 / $81,368.05 / $110,538.50
Providence
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 / $67,806.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $73,939.13 / $99,817.83