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Delaware rates for HCPCS A9517

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.59 / $1,144.93 / $10,743.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.56 / $41.59 / $58.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $45.60 / $255.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $42.84 / $44.98