go back

Massachusetts 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
$753.92 / $753.92 / $1,023.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.85 / $753.92 / $786.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.63 / $2,618.39 / $3,097.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.26 / $897.63 / $2,271.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.39 / $2,004.57 / $3,692.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.07 / $876.07 / $876.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.07 / $876.07 / $876.07
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.63 / $1,418.26 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.03 / $1,256.68 / $1,818.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.92 / $753.92 / $1,216.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.30 / $2,047.30 / $5,844.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.92 / $886.96 / $6,219.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.92 / $886.96 / $1,504.04