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Oregon rates for HCPCS A9607

Lutetium Lu 177 vipivotide tetraxetan, therapeutic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $251.19 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $245.47 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $263.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $173.78 / $208.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $338.84 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $524.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $288.40 / $371.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $309.03 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $380.19 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04