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New Mexico rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.17 / $283.17 / $303.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $247.40 / $283.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $253.36 / $298.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $338.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $248.39