go back

Utah rates for HCPCS A9606

Radium RA-223 dichloride, therapeutic, per UCI

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $169.82 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $128.82 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $309.03 / $588.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $257.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $173.78 / $204.17
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17