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Utah 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
$67,535.48 / $67,535.48 / $67,535.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,535.48 / $67,535.48 / $67,535.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $69,162.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $53,121.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96,854.08 / $132,262.69 / $189,882.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76,157.30 / $93,841.03 / $98,776.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $67,806.71