go back

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
$161.82 / $2,252.35 / $3,096.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $161.82 / $161.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.10 / $1,225.10 / $1,225.10
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.17 / $174.17 / $220.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $3,517.42