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Washington, DC 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
$108.36 / $142.91 / $726.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $108.36 / $108.36
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.60 / $273.72 / $273.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $172.19