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New Jersey rates for HCPCS A9517

Iodine I-131 Sodium Iodide Capsule(S) Therapeuticper Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.40 / $886.73 / $5,962.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.56 / $36.40 / $58.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.13 / $47.21 / $88.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $36.40
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $84.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $156.00 / $156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $45.41