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Nebraska rates for HCPCS A9607

Lutetium Lu 177 vipivotide tetraxetan, therapeutic, 1 mCi

Facilitymedian $437 · 10th–90th $240–$69,1830%10%20%10th90th$437Professionalmedian $245 · 10th–90th $240–$2950%50%10th90th$245$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $478.63 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $245.47 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $91,201.08 / $177,827.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $426.58 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $467.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $295.12
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $426.58 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $288.40 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $257.04 / $275.42