go back

North Dakota 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 / $36.00 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $37.35 / $45.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $39.52 / $40.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $38.25 / $44.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $46.80 / $64.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $171.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $53.01