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Washington 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
$812.83 / $812.83 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $2,398.83 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $2,238.72 / $3,162.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $1,659.59 / $2,818.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,949.84 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,737.80 / $2,754.23