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Hawaii rates for HCPCS A9516

Iodine I-123 sodium iodide, diagnostic, per 100 mcCi, up to 999 mcCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $107.15 / $158.49