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Idaho rates for HCPCS A9554

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $42.75 / $42.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $38.70 / $42.75
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.70 / $55.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $32.71 / $83.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $51.30 / $53.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $52.50