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Indiana 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 / $470.80 / $737.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $101.98 / $101.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.69 / $212.48 / $318.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.80 / $54.76 / $205.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.96 / $107.96 / $135.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.96 / $107.96 / $167.34
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 / $127.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $141.30