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Wyoming 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
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $109.65 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15