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Hawaii rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.27 / $1,801.27 / $1,801.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $276.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.98 / $249.98 / $261.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.39 / $245.88 / $256.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.62 / $2,170.19 / $3,255.30