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Virginia 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
$69,183.10 / $69,183.10 / $69,183.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,565.42 / $67,608.30 / $69,183.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $114,815.36 / $194,984.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63,095.73 / $64,565.42 / $109,647.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,069.34 / $77,624.71 / $104,712.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,608.30 / $81,283.05 / $120,226.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $77,624.71 / $100,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,565.42 / $77,624.71 / $100,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $93,325.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,608.30 / $67,608.30 / $81,283.05