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Oklahoma 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
$34.83 / $532.90 / $5,834.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.32 / $36.40 / $59.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $43.12 / $67.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.32 / $39.47 / $49.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $42.84 / $664.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $45.91