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Arkansas rates for HCPCS A9517

Iodine I-131 sodium iodide capsule(s), therapeutic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.40 / $691.63 / $5,850.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $36.40 / $54.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.70 / $40.70 / $40.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $40.70 / $40.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.72 / $88.54 / $88.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.63 / $42.84 / $44.13