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Minnesota rates for HCPCS A9554

Iodine I-125 Sodium Iothalamate M Diagnostic Per Study Dose Up To 10 Microcuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $37.35 / $45.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $43.13 / $112.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $31.81 / $31.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.33 / $111.08 / $267.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $40.92 / $44.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.68 / $101.56 / $210.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $34.88 / $43.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $45.00 / $76.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $73.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $69.53