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Washington 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 / $162,181.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,565.42 / $67,608.30 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $134,896.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,183.10 / $69,183.10 / $69,183.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $33,884.42 / $301,995.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $26,302.68 / $38,018.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $64.57 / $85,113.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $58,884.37 / $58,884.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $75,857.76 / $181,970.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75,857.76 / $75,857.76 / $75,857.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,069.34 / $79,432.82 / $190,546.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77,624.71 / $77,624.71 / $77,624.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $56,234.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,608.30 / $67,608.30 / $67,608.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $18,197.01 / $100,000.00