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Utah rates for HCPCS A9590

Iodine I-131, iobenguane, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.11 / $319.11 / $319.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.58 / $319.11 / $330.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.80 / $326.80 / $326.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.53 / $686.01 / $984.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.39 / $320.39 / $320.39