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Wyoming rates for HCPCS A9607

Lutetium Lu 177 vipivotide tetraxetan, therapeutic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $253.36 / $253.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $298.07 / $298.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.36 / $298.07 / $298.07
Cigna
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 / $248.39