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Nebraska rates for HCPCS A9554

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

Facilitymedian $170 · 10th–90th $45–$6460%20%10th90th$170Professionalmedian $36 · 10th–90th $36–$450%50%90th$36$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $35.48 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $43.65 / $177.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $95.50 / $269.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $37.15 / $44.67