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Rhode Island rates for HCPCS A9554

Iodine I-125 Sodium Iothalamate M Diagnostic Per Study Dose Up To 10 Microcuries

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $38.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $39.75 / $42.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.50 / $40.50 / $40.50
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 / $38.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50