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Montana rates for HCPCS A9517

Iodine I-131 sodium iodide capsule(s), therapeutic, per mCi

Facilitymedian $115 · 10th–90th $2–$1,7780%20%10th90th$115Professionalmedian $43 · 10th–90th $35–$780%20%10th90th$43$2.0$20.0$200.0$2.0K$20.0K$200.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $134.90 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $134.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $138.04 / $141.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $138.04 / $141.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $52.48 / $138.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $42.66