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Washington, DC rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $2,238.72 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $1,862.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,548.13