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Wisconsin rates for HCPCS C9407

Iodine i-131 iobenguane, dx

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.59 / $718.19 / $1,017.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.81 / $453.92 / $515.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.28 / $797.28 / $797.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.30 / $1,555.30 / $1,555.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.28 / $797.28 / $797.28