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Louisiana 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
$36.54 / $46.19 / $4,026.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $39.11 / $47.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $5.69 / $65.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $40.70 / $41.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.20 / $704.20 / $704.20
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
$38.56 / $42.84 / $45.44