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Kansas 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
$60.10 / $1,599.75 / $8,858.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $40.29 / $79.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.54 / $50.55 / $156.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.93 / $22.93 / $22.93
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.96 / $42.84 / $86.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $664.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $44.57