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North Carolina 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
$35.70 / $35.70 / $37.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $35.70 / $38.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $26.96 / $35.94
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.63 / $36.27 / $53.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $36.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $48.75
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $171.00 / $205.45