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Pennsylvania rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.32 / $2,187.89 / $11,533.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.72 / $145.58 / $1,844.67
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.23 / $1,516.23 / $1,783.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.74 / $292.14 / $3,345.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.89 / $2,187.89 / $11,533.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.72 / $184.89 / $1,844.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.61 / $499.75 / $685.52
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.90 / $204.90 / $225.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.90 / $204.90 / $225.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,997.05