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South Carolina rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $575.44 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $204.17 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,290.87 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $281.84 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,238.72