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Iodine I-131 Sodium Iodide Capsule(s), Therapeutic, per mCi

New Hampshire rates for HCPCS A9517

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

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $0$2190%20%10th90th$39Professionalmedian $36 · 10th–90th $36$580%50%90th$36$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$36.31
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$37.15
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$36.31
Typical High
$42.66
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$199.53
Typical High
$288.40