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Arizona rates for HCPCS A9554

Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 mcCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.44 / $237.44 / $874.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $36.45 / $36.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.34 / $73.45 / $116.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $34.20 / $165.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $47.03 / $168.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $81.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50