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Georgia 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
$42.08 / $8,670.00 / $15,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $42.08 / $55.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $37.65 / $84.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $112.33 / $118.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $88.54 / $119.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.16 / $139.19 / $167.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.66 / $77.39 / $99.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $46.34