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Idaho 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
$977.24 / $977.24 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $933.25 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,047.13 / $2,187.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,230.27