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North Carolina 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
$67.44 / $1,027.79 / $5,261.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $42.08 / $58.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $86.94 / $92.74
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.40 / $42.84 / $76.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $166.00 / $179.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.91 / $87.56 / $87.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $45.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.55 / $709.98 / $709.98
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.56 / $910.88 / $910.88