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Oklahoma 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
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $41.69 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15