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Idaho 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
$40.70 / $461.52 / $2,490.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $42.67 / $79.03
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.68 / $57.66 / $90.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.81 / $46.81 / $46.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $63.09 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.47 / $35.60 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $48.84 / $50.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $42.84