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Missouri rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $306.83 / $78,519.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $291.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.84 / $422.26 / $918.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.04 / $228.31 / $285.39
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.78 / $277.61 / $638.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.52 / $248.39 / $1,037.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $295.58