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Indiana rates for HCPCS A9517

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.96 / $2,821.52 / $7,469.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $46.06 / $61.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $46.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $41.80 / $59.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.03 / $124.84 / $121,498.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.03 / $115.24 / $144.05
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $45.88