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Wisconsin rates for HCPCS A9590

Iodine I-131, iobenguane, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.58 / $685.90 / $685.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.58 / $319.11 / $384.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.00 / $320.39 / $320.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.80 / $629.04 / $1,091.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.39 / $326.80 / $400.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.58 / $326.80 / $384.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.58 / $326.80 / $384.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.39 / $320.39 / $1,460.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,162.04
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.58 / $326.80 / $384.47
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.80 / $1,698.05 / $1,698.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.80 / $407.54 / $1,460.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.39 / $320.39 / $403.69