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Minnesota rates for HCPCS A9517

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.59 / $51.59 / $10,841.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $46.06 / $65.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $23.73 / $204.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $35.70 / $35.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.88 / $108.63 / $129.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.77 / $50.01 / $59.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.86 / $98.75 / $137.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $39.38 / $42.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.21 / $42.84 / $192.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $98.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $77.66