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Washington, DC 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 / $38.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $33.60 / $33.60
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $50.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $60.78