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Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto)

New Jersey rates for HCPCS A9607

Lutetium Lu 177 vipivotide tetraxetan, therapeutic, 1 mCi

Rates data updated July 2026.

How much does Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto) cost?

$257

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $417 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$245 to $263
FacilityA hospital or hospital-owned outpatient department$417$339 to $661

How much rates vary

Facilitymedian $417 · 10th to 90th $263 to $3,090Professionalmedian $257 · 10th to 90th $229 to $263
$100.0$1.0K$10.0K$100.0Kfacility $417professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$7,413.10
Typical High
$16,218.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$257.04

Where New Jersey sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $257 · 44th of 51
LA $269NY $245

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.