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Illinois 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
$47.27 / $300.25 / $9,259.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $44.80 / $76.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.22 / $306.30 / $532.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $42.84
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $91.44 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $44.57