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Delaware 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
$246.65 / $344.30 / $765.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $108.36 / $586.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $108.36 / $108.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.69 / $213.21 / $457.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $106.24 / $159.36