search again

Nationwide rates for HCPCS A9516

Iodine I-123 Sodium Iodide Capsule(S) Diagnostic Per 100 Microcuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.51 / $242.19 / $689.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $105.81 / $127.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.80 / $180.61 / $328.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $106.66 / $114.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.36 / $108.36 / $108.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $108.36 / $108.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $127.48