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Rhode Island 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
$97.75 / $563.40 / $668.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $105.81 / $108.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.36 / $112.61 / $118.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.73 / $114.73 / $114.73
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $127.48