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Vermont rates for HCPCS A9509

Iodine I-123 Sodium Iodide Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.67 / $1,844.67 / $1,844.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.52 / $1,301.52 / $1,666.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.69 / $2,170.19 / $5,014.03