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Texas 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
$755.23 / $880.88 / $2,869.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.88 / $755.23 / $918.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.18 / $1,863.27 / $3,717.71
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.30 / $5,844.83 / $5,844.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,219.11 / $6,219.11 / $9,012.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.46 / $886.96 / $1,663.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.88 / $973.88 / $973.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.77 / $886.96 / $1,313.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.07 / $876.07 / $876.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.96 / $886.96 / $886.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.79 / $543.77 / $753.92