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Iowa 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
$45.00 / $45.00 / $46.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $45.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $43.59 / $58.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,109.55 / $1,132.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $60.14 / $188.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $171.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.63 / $68.77 / $188.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.63 / $92.14 / $268.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $51.38