go back

Washington, DC rates for HCPCS A9517

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.13 / $3,542.54 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $58.13 / $58.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $34.27 / $34.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $88.54 / $88.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $34.60 / $124.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $69.43