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Massachusetts 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
$108.36 / $186.85 / $468.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $108.36 / $121.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.08 / $297.61 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.36 / $106.24 / $236.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.37 / $490.48 / $903.44
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.36 / $149.09 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $132.10 / $191.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $108.36 / $174.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.86 / $149.86 / $254.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $484.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $159.36