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Wisconsin 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
$65,094.44 / $65,094.44 / $65,094.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,094.44 / $65,094.44 / $81,368.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105,125.42 / $122,172.78 / $126,718.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,745.87 / $67,806.71 / $180,888.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,485.58 / $69,162.84 / $141,797.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,485.58 / $101,574.26 / $115,425.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,021.25 / $65,094.44 / $82,351.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,021.25 / $64,132.46 / $82,351.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $92,840.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $85.00 / $237,679.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,021.25 / $65,094.44 / $82,351.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.30 / $133,591.47 / $196,689.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,162.84 / $69,162.84 / $284,122.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,162.84 / $82,500.50 / $281,672.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,806.71 / $67,806.71 / $81,368.05