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Minnesota rates for HCPCS A9516

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

Facilitymedian $479 · 10th–90th $76–$1,0230%10%10th90th$479Professionalmedian $135 · 10th–90th $105–$1740%20%40%10th90th$135$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$67.61 / $426.58 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $107.15 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $741.31 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $537.03 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $186.21 / $204.17
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $524.81 / $1,023.29
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $218.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $120.23 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $199.53