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New Jersey rates for HCPCS A9509

Iodine I-123 Sodium Iodide Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.63 / $1,844.67 / $3,778.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.32 / $1,801.27 / $1,844.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $175.08 / $226.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.23 / $1,516.23 / $1,783.80
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,785.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.42 / $1,083.58 / $1,083.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,257.88