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Minnesota 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
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $37.15 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $79.43 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $117.49 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $44.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $112.20 / $218.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $47.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $67.61