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Arizona 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
$106.36 / $106.36 / $1,643.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.80 / $115.65 / $1,432.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.25 / $140.50 / $145.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.15 / $329.51 / $542.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $97.52 / $472.36
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.53 / $147.66 / $431.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $230.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $106.24