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Missouri 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
$95.00 / $99.75 / $358.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $358.80 / $358.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.10 / $663.00 / $1,026.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.25 / $71.25 / $95.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $109.25 / $356.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.50 / $390.00 / $486.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $390.00 / $448.50