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Maine rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.52 / $691.52 / $745.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.42 / $253.36 / $253.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.54 / $284.42 / $810.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $253.35 / $253.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.21 / $253.36 / $253.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.52 / $691.52 / $745.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.40 / $253.36 / $253.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $360.17