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Oklahoma 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
$363.29 / $363.29 / $363.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $363.29 / $372.26
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
$76.95 / $95.00 / $204.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $390.00 / $430.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $390.00 / $430.05