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Arizona rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $331.13 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,888.44 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $288.40 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $275.42 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76