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North Dakota 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
$101.98 / $424.76 / $835.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $105.81 / $127.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.82 / $111.94 / $113.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $162.00 / $202.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.98 / $172.35 / $210.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $437.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $118.99