go back

Arizona rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.99 / $172.99 / $172.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.07 / $284.75 / $1,241.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.74 / $7,883.29 / $12,011.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.08 / $245.88 / $2,170.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $3,742.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,170.19