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Connecticut 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
$38.25 / $38.25 / $59.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.19 / $62.81 / $116.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $35.70 / $35.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.63 / $37.50 / $41.40