PLUVICTO A Code: A9607

NDC Code Information

2 NDC packages are crosswalked to A9607. Package detail is available to logged-in subscribers.

PLUVICTO Pricing & Reimbursement

A9607 Private Payer Reimbursement

$256.19 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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PLUVICTO Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 15.78%

Avg. Days to File 13.5days

Avg. Days to Pay 35.8days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

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PLUVICTO CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

PLUVICTO Medically Unlikely Edits (MUE)

The most billing units of A9607 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mci.

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

PLUVICTO Clinical Information

Indications and drug classification.

Frequently Asked Questions