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Kentucky rates for HCPCS A9517

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.61 / $72.83 / $5,024.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $40.90 / $61.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $37.29 / $57.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $41.80 / $42.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.04 / $127.88 / $127.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.57 / $118.74 / $205.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $119.78 / $119.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $44.13