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Maryland rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $676.08 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $245.47 / $1,862.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
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 / $186.21 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,238.72