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Michigan rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Facilitymedian $251 · 10th–90th $135–$1,9950%10%20%10th90th$251Professionalmedian $219 · 10th–90th $102–$2,1880%10%10th90th$219$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $251.19 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $218.78 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $158.49 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $1,862.09 / $1,862.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $1,288.25 / $5,888.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $2,187.76 / $2,951.21
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $1,862.09 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,344.23