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North Carolina rates for HCPCS A9554

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

Facilitymedian $39 · 10th–90th $35–$910%20%10th90th$39Professionalmedian $37 · 10th–90th $31–$400%50%10th90th$37$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$34.67 / $34.67 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $37.15 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $57.54 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $38.02 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $72.44 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $48.98
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17