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Washington rates for HCPCS A9607

Lutetium lu 177 vipivotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $563.85 / $78,927.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $253.36 / $429.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.95 / $359.93 / $1,201.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.85 / $283.17 / $1,284.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.21 / $241.21 / $496.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $253.36 / $253.36
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.88 / $43,775.00 / $43,775.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.17 / $488.02 / $488.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.12 / $271.12 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.78 / $360.40 / $643.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.12 / $271.12 / $271.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.95 / $287.94 / $534.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.01 / $283.17 / $294.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $248.39 / $298.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.83 / $283.17 / $283.17