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Hawaii rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116,460.00 / $116,460.00 / $116,460.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.40 / $247.40 / $253.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $311.11 / $366.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.95 / $239.95 / $239.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.49 / $339.80 / $396.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $311.11 / $372.59