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Colorado 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
$36.31 / $1,819.70 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $41.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $74.13 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $39.81 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15