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New Hampshire rates for HCPCS A9508

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

Facilitymedian $1,023 · 10th–90th $0–$3,7150%10%10th90th$1,023Professionalmedian $759 · 10th–90th $646–$1,2590%50%10th90th$759$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $758.58 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $1,479.11 / $4,365.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,949.84 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $891.25 / $891.25
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,071.52 / $1,445.44