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Arkansas rates for HCPCS A9509

Iodine I-123 Sodium Iodide Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.47 / $1,262.66 / $1,844.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.27 / $1,844.67 / $1,844.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.90 / $204.90 / $204.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.90 / $204.90 / $204.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $143.26 / $258.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.09 / $2,170.19 / $2,170.19