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North Dakota 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
$50.21 / $50.21 / $73.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $39.11 / $55.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.49 / $37.68 / $38.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $37.68 / $38.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $49.22 / $88.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $50.21 / $150.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $664.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $47.98