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Utah 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
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $371.54 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $707.95 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05