go back

Michigan 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
$140.60 / $358.80 / $358.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $358.80 / $381.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $16.18 / $28.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $10.86 / $13.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $381.23 / $381.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.50 / $95.00 / $190.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $95.00 / $358.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $390.00 / $421.20