go back

Minnesota rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.16 / $128.16 / $264.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $143.19 / $432.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $41.23 / $242.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.97 / $41.23 / $41.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,468.21 / $6,336.48 / $15,243.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.38 / $2,334.19 / $2,526.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,518.28 / $5,793.06 / $12,002.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.38 / $1,989.38 / $2,486.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.55 / $526.50 / $2,170.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $3,742.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $3,906.36