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North Dakota rates for HCPCS A9554

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

Facilitymedian $36 · 10th–90th $36–$470%50%90th$36Professionalmedian $38 · 10th–90th $31–$440%20%40%10th90th$38$20.0$50.0$100.0

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
$36.31 / $36.31 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $38.02 / $44.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $46.77 / $64.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $56.23