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Utah rates for HCPCS A9524

Iodinine I-131 Iodinated Serum Albumin Diagnosticper 5 Microcuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.26 / $372.26 / $372.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.26 / $372.26 / $372.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $381.23 / $381.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $348.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.08 / $525.02 / $552.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $390.00 / $390.00