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Kansas 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
$60.50 / $235.28 / $934.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $101.98 / $127.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $101.98 / $101.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.23 / $121.72 / $192.91
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.98 / $107.20 / $163.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $437.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $127.48