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Massachusetts rates for HCPCS A9516

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

Facilitymedian $324 · 10th–90th $107$6760%10%20%10th90th$324Professionalmedian $107 · 10th–90th $100$4570%50%10th90th$107$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $316.23 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $107.15 / $977.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $295.12 / $316.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $107.15 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $501.19 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $229.09 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $131.83 / $5,888.44
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $128.82 / $181.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $173.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $295.12 / $316.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $107.15 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $186.21 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $141.25