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West Virginia 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
$298.92 / $513.24 / $846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $108.36 / $108.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.22 / $104.22 / $156.33
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 / $146.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.28 / $127.43 / $290.17
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.78 / $113.78 / $113.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $153.87