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Pennsylvania 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
$102.55 / $381.23 / $381.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $381.23 / $381.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.93 / $141.09 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.09 / $141.09 / $141.09
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $80.75 / $95.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.55 / $115.47 / $381.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.01 / $381.23 / $381.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.75 / $536.75 / $590.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.75 / $536.75 / $590.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $390.00 / $508.95