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Utah rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.40 / $247.40 / $129,284.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.54 / $247.40 / $256.33
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.54 / $484.70 / $695.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.17 / $348.92 / $367.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $248.39