go back

Utah rates for HCPCS A9508

Iodine I-131 Iobenguane Sulfate Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.18 / $736.18 / $736.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.18 / $736.18 / $736.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.07 / $876.07 / $876.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $996.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.61 / $886.96 / $886.96