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Idaho rates for HCPCS A9524

Iodine I-131 iodinated serum albumin, diagnostic, per 5 mcCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,130.38 / $2,130.38 / $2,130.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $385.71 / $2,130.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.25 / $385.71 / $551.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $531.39 / $1,375.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.08 / $511.29 / $532.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $390.00 / $546.00