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Pennsylvania rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $581.23 / $54,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $253.36 / $253.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.69 / $283.17 / $424.76
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.16 / $283.16 / $283.16
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.84 / $250.84 / $253.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.58 / $511.44 / $768.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $640.85 / $124,197.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $253.36 / $345.26
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Priority Health
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 / $310.49