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Illinois rates for HCPCS A9509

Iodine I-123 Sodium Iodide Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.42 / $285.64 / $1,285.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.90 / $114.42 / $4,115.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,115.80 / $17,229.80 / $31,899.00
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $543.50 / $656.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,306.92