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Colorado rates for HCPCS A9554

Iodine I-125 Sodium Iothalamate M Diagnostic Per Study Dose Up To 10 Microcuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $1,818.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $42.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $67.88 / $120.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $39.85 / $98.70
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 / $57.31
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $38.25 / $64.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.25 / $49.88 / $61.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50