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Arkansas rates for HCPCS A9516

Iodine I-123 sodium iodide, diagnostic, per 100 mcCi, up to 999 mcCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.91 / $108.35 / $559.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $105.81 / $108.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.08 / $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 / $109.43