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Virginia rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $271.24 / $536.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $253.36 / $253.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.84 / $350.50 / $752.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $317.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.69 / $254.85 / $331.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $298.07 / $385.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.07 / $298.07 / $298.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $278.20