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Michigan rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.78 / $303.91 / $409.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $238.46 / $253.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.86 / $375.78 / $659.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.07 / $266.08 / $345.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $455.87 / $650.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $263.29 / $315.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $267.70