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Massachusetts rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.18 / $1,844.67 / $2,503.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.82 / $1,844.67 / $1,844.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.08 / $297.61 / $941.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.36 / $2,170.19 / $3,742.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,863.69 / $4,904.76 / $9,034.33
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.36 / $149.09 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $132.10 / $191.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.67 / $1,844.67 / $2,975.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.67 / $1,844.67 / $2,170.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.67 / $2,170.19 / $3,742.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.67 / $2,170.19 / $3,680.05