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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
$467.74 / $741.31 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $95,499.26
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 / $1,584.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,288.25