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Oregon rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $4,365.16 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $281.84 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $616.60 / $5,011.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $1,513.56 / $1,862.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $371.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $407.38 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $147.91 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,630.27