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Hawaii rates for HCPCS A9554

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $37.35 / $37.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $57.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $51.30 / $53.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $56.25 / $57.71