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Nebraska rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.12 / $260.95 / $322.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.12 / $149.12 / $149.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.90 / $156.74 / $156.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.57 / $616.11 / $2,486.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.12 / $756.34 / $2,170.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $3,255.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.57 / $230.96 / $934.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.63 / $564.91 / $792.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.69 / $2,170.19 / $2,170.19