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Maine rates for HCPCS A9524

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.83 / $1,205.83 / $1,205.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.22 / $381.22 / $390.00
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $381.23 / $456.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $390.00 / $565.50