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Tennessee rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.55 / $713.47 / $1,262.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.82 / $205.80 / $284.32
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.67 / $2,170.19 / $2,170.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,742.91 / $3,742.91 / $3,742.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.69 / $2,170.19 / $2,170.19