go back

South Carolina 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
$54.95 / $1,479.11 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $41.69 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $50.12 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.71 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $46.77 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $23.99 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $42.66 / $42.66