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Tennessee rates for HCPCS A9554

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.35 / $37.35 / $65.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $37.35 / $37.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $44.96 / $48.26
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $168.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $171.00 / $205.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50