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Iowa rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Facilitymedian $245 · 10th–90th $245–$4170%50%90th$245Professionalmedian $251 · 10th–90th $245–$3980%20%40%10th90th$251$0.5$2.0$10.0$50.0$200.0$1.0K

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
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $398.11
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $323.59 / $389.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $309.03 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $426.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $263.03 / $309.03
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $257.04 / $257.04