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Georgia rates for HCPCS A9554

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

Facilitymedian $186 · 10th–90th $37–$2,2390%10%20%10th90th$186Professionalmedian $37 · 10th–90th $36–$430%50%10th90th$37$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $37.15 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $186.21 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $40.74 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $75.86 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $47.86