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New Hampshire rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.39 / $248.39 / $298.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.44 / $253.36 / $253.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.95 / $767.52 / $1,160.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $253.35 / $253.35
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $367.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $253.36