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Maine rates for HCPCS A9508

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.19 / $678.19 / $753.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.92 / $753.92 / $99,999.99
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.92 / $753.92 / $903.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.19 / $678.19 / $753.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.96 / $886.96 / $1,552.18