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South Carolina rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.42 / $244.42 / $968.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.09 / $244.42 / $253.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.46 / $257.00 / $428.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.55 / $307.01 / $372.59
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.18 / $253.36 / $415.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.18 / $191.18 / $253.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.95 / $245.95 / $263.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.55 / $248.39 / $273.23