go back

Massachusetts rates for HCPCS A9554

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

Facilitymedian $46 · 10th–90th $38–$6460%20%10th90th$46Professionalmedian $38 · 10th–90th $36–$540%50%10th90th$38$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $38.02 / $44.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,659.59 / $3,235.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $81.28 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,023.29 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $61.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,659.59 / $3,235.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $38.02 / $56.23