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Ohio 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
$36.00 / $84.60 / $93.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $38.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.25 / $87.75 / $243.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.18 / $43.91 / $79.12
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $57.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $49.13