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Kentucky 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
$36.00 / $36.00 / $200.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $37.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.46 / $44.23 / $44.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.32 / $43.91 / $2,160.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $28.93 / $28.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.25 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $57.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $40.15