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Connecticut rates for HCPCS A9517

Iodine I-131 Sodium Iodide Capsule(S) Therapeuticper Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.02 / $705.27 / $6,314.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $36.40 / $840.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $23.13 / $135.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.94 / $36.40 / $45.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $36.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $42.84 / $43.70