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Florida 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
$45.90 / $101.98 / $483.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $105.81 / $108.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.20 / $76.48 / $160.00
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $24.02 / $24.02
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $30.00 / $62.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $111.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.84 / $95.84 / $95.84