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Oklahoma rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.96 / $151.96 / $151.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.89 / $149.72 / $1,801.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.72 / $173.23 / $2,170.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.14 / $2,170.19 / $2,404.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,300.41