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Ohio rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $649.91 / $1,156.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $253.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.84 / $423.01 / $707.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.50 / $255.21 / $458.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.75 / $2,273.75 / $3,865.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.09 / $2,273.75 / $2,273.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.21 / $253.36 / $253.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.72 / $241.21 / $315.86
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $298.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.68 / $1,852.68 / $2,189.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $308.25