Payer comparison · HCPCS A9607 · CHARLOTTE, NC

A9607 — Lutetium Lu 177 Vipivotide

What each payer pays CAROLINAS MEDICAL CENTER/BEHAV HEALTH (CCN 340113) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$175,554 All-payer median here

$146,112 Cash / self-pay here

29 payer/plan-name variants

← This hospital National rates for A9607 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

MultiPlan	$265,924	51.5%	2
BeechStreet Corporation	$261,540	49.0%	2
Provider Select	$242,546	38.2%	2
PHCS (Private Healthcare Systems)	$236,701	34.8%	2
Healthgram Inc (formerly Primary PhysicianCare Inc)	$233,779	33.2%	2
First Health Network	$213,324	21.5%	3
Humana	$196,886	12.2%	8
Carolina Behavioral Health	$193,087	10.0%	4
Quik Trip	$189,946	8.2%	2
GMMI Inc	$189,946	8.2%	1
Cigna Healthcare	$175,773	0.1%	13
Magellan Health	$175,554	0.0%	2
MBS (Formerly MedCost Benefit Services)	$171,682	-2.2%	4
UnitedHealthcare	$153,125	-12.8%	12
Physician Reach Out	$146,112	-16.8%	3
WellCare Health Plans	$145,805	-16.9%	4
Carolina Complete Health (Centene NC Medicaid)	$145,805	-16.9%	4
HEALTHY BLUE SOUTH CAROLINA	$145,805	-16.9%	4
AmeriHealth Caritas	$144,739	-17.6%	4
Aetna	$138,514	-21.1%	19
Employers Health Network	$129,163	-26.4%	2
Trillium Behavioral Health	$121,331	-30.9%	2
Alliance	$120,995	-31.1%	4
VAYA HEALTH	$120,674	-31.3%	2
Partners	$120,031	-31.6%	2
Centene	$106,077	-39.6%	7
BCBS of North Carolina	$98,684	-43.8%	12
Ortho Carolina	$88,046	-49.8%	2
Molina Healthcare	$88,004	-49.9%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.