go back

Indiana 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
$36.31 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $56.23 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $2,137.96 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $64.57 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $44.67