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New York rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.78 / $253.36 / $102,595.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.67 / $247.40 / $253.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.67 / $255.84 / $255.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.75 / $248.39 / $253.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.39 / $248.39 / $253.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.84 / $325.63 / $637.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.21 / $250.84 / $250.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $263.29 / $263.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $263.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.58 / $288.81 / $440.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.39 / $253.36 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $370.10
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $263.29