go back

Utah rates for HCPCS A9509

Iodine I-123 Sodium Iodide Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.27 / $1,801.27 / $2,285.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.27 / $1,801.27 / $1,801.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $2,438.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.90 / $252.48 / $265.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,170.19