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Maryland 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
$37.83 / $630.44 / $3,372.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $41.59 / $58.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $34.27 / $34.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.78 / $119.78 / $119.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $40.70 / $134.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $44.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.73 / $31.73 / $31.73