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Virginia rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.82 / $476.28 / $1,844.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.72 / $1,801.27 / $1,844.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.50 / $792.50 / $974.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.10 / $1,225.10 / $1,225.10
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.17 / $204.90 / $241.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.02 / $1,339.60 / $2,809.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.79 / $435.50 / $558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.19 / $2,170.19 / $2,302.37