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Mississippi 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
$36.90 / $36.90 / $54.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $54.00 / $60.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $34.36 / $34.36
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 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $37.50 / $48.75