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Arizona rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.94 / $596.14 / $894.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $244.42 / $253.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.78 / $266.45 / $658.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.23 / $216.90 / $512.41
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.70 / $291.05 / $513.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $539.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $248.39