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Nebraska 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
$82.34 / $94.69 / $10,841.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $60.02 / $73.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.52 / $1,119.93 / $1,965.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $87.98 / $88.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $88.54 / $187.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.29 / $87.03 / $120.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $664.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.63 / $98.50 / $187.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.12 / $98.50 / $187.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.50 / $146.50 / $146.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $42.84 / $42.84