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Iowa rates for HCPCS A9508

Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.56 / $1,755.27 / $1,755.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.89 / $819.53 / $819.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.07 / $1,545.84 / $2,446.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.96 / $1,270.13 / $2,321.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.96 / $886.96 / $1,773.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.24 / $1,545.84 / $2,446.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.18 / $1,545.84 / $2,446.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.96 / $886.96 / $940.98