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Montana rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $247.40 / $247.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.57 / $77,999.99 / $94,999.99
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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $298.07 / $338.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $325.33 / $474.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $248.39