go back

Oregon rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.90 / $4,343.43 / $4,994.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.97 / $1,801.27 / $3,204.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.08 / $287.08 / $287.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.95 / $405.12 / $428.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.97 / $356.29 / $2,387.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.90 / $222.71 / $371.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.13 / $298.17 / $2,170.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $256.13 / $470.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.90 / $204.90 / $204.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,495.73