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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
$73.25 / $677.96 / $3,497.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $161.82 / $1,844.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.10 / $1,225.10 / $1,225.10
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 / $200.88 / $234.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,235.31