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Colorado 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
$101.98 / $309.93 / $612.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $101.98 / $121.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.99 / $192.29 / $341.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.12 / $91.12 / $106.24
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.98 / $108.36 / $171.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $384.00 / $384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $106.24