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Idaho rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.39 / $248.39 / $248.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $253.36 / $256.33
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
$247.40 / $269.16 / $328.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.18 / $253.18 / $443.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $244.01 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.95 / $359.93 / $597.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.80 / $339.80 / $353.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $248.39