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Tennessee 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
$45.10 / $1,821.00 / $5,494.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.64 / $38.11 / $55.08
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.92 / $225.55 / $709.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.56 / $664.56 / $910.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $42.84 / $42.84