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Indiana rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $570.79 / $1,052.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $247.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.18 / $409.34 / $571.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.50 / $223.25 / $317.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.09 / $352.09 / $482.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.09 / $352.09 / $422.51
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 / $298.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $298.07