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Kentucky rates for HCPCS A9516

Iodine I-123 Sodium Iodide Capsule(S) Diagnostic Per 100 Microcuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.98 / $193.62 / $582.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $101.98 / $105.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.50 / $113.03 / $125.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $184.47 / $217.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.69 / $106.04 / $164.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.29 / $112.96 / $158.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.36 / $108.36 / $108.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.12 / $108.36 / $146.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $113.78