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Mississippi 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
$46.91 / $70.90 / $667.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.53 / $152.97 / $172.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.80 / $206.80 / $206.80
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.28 / $218.28 / $242.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.99 / $106.24 / $138.11