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

South Dakota rates for HCPCS A9517

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

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $24$980%20%10th90th$43Professionalmedian $49 · 10th–90th $40$690%20%10th90th$49$50.0$100.0$200.0$500.0

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
$50.12
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$69.18
Avera
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$186.21
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$51.29
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99