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Missouri 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
$36.00 / $47.25 / $9,873.21
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
$40.88 / $63.75 / $98.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $36.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $53.11 / $168.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.94 / $37.50 / $46.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $37.50 / $45.00