Interventional oncology
Y-90 Radioembolization (SIRT)
Y-90 Radioembolization (SIRT) is a minimally invasive, image-guided procedure used to treat liver cancer (hepatocellular carcinoma and liver metastases).
Devices used in Y-90
Alternatives to Y-90
- Transarterial Chemoembolization (TACE)
- Liver Tumor Ablation (Microwave or Radiofrequency)
- Portal Vein Embolization
- Surgical resection
- Liver transplant
- Systemic therapy (immunotherapy, targeted drugs)
- Radiation therapy (SBRT)
How much does Y-90 cost?
Medicare national averages for CPT 79445 (Nuclear therapy using a radioactive drug delivered through an artery). The total bill has two parts: the professional fee paid to the physician, and the facility (technical) fee paid to the hospital or surgery center for the room, staff, equipment and supplies.
| Where it's done | Physician (professional) | Facility (technical) |
|---|---|---|
| Hospital outpatient department | $107 | $238 (OPPS) |
| Ambulatory surgery center (ASC) | $107 | $128 |
| Office-based lab (OBL) | $107 (one "global" payment that covers the physician and the office's supplies, equipment and staff) | |
Medicare physician fee schedule and hospital outpatient/ASC payment rates, national averages before geographic adjustment. Private insurance usually pays more; your share depends on your plan's deductible and coinsurance. Inpatient stays are paid differently (by DRG).
Related reading and technique references
This page is for education and does not replace advice from your doctor. Device information comes from the FDA's public databases and from manufacturers.