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Hawaii 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
$15,459.15 / $15,459.15 / $15,459.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.32 / $36.40 / $73.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $88.54 / $88.54
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $48.46 / $48.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $48.84 / $56.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $64.26