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North Dakota rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.73 / $274.73 / $274.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $274.73 / $284.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $1,989.38 / $2,486.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.07 / $350.60 / $1,844.67
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 / $2,430.62