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Maine rates for HCPCS A9517

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.91 / $966.74 / $5,128.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $39.11 / $54.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.57 / $25.71 / $73.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $41.80 / $99,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $88.54 / $119.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $36.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.91 / $5,128.20 / $53,943.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $39.67 / $77.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $42.84 / $62.12