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Alaska rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.56 / $1,380.75 / $1,380.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.39 / $402.39 / $402.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.22 / $402.39 / $563.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.02 / $519.02 / $1,050.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.55 / $456.62 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.12 / $313.93 / $342.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.07 / $402.39 / $570.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $325.33 / $342.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.59 / $372.59 / $755.92