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Michigan rates for HCPCS A9554

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

Facilitymedian $89 · 10th–90th $36–$1,8200%20%10th90th$89Professionalmedian $37 · 10th–90th $35–$1,0000%50%10th90th$37$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$36.31 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $37.15 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,621.81 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $38.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $44.67 / $114.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $41.69 / $56.23
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $40.74