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Missouri 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
$40.28 / $1,235.31 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.77 / $40.29 / $76.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $24.29 / $83.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.13 / $32.77 / $42.84
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.67 / $60.44 / $171.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $42.84 / $664.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $42.84 / $45.45