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New Jersey rates for HCPCS A9554

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

Facilitymedian $100 · 10th–90th $38–$10,4710%20%10th90th$100Professionalmedian $38 · 10th–90th $36–$1580%50%10th90th$38$50.0$200.0$1.0K$5.0K$20.0K

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
$38.02 / $61.66 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $38.02 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $2,398.83 / $13,803.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $151.36 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $39.81