go back

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

Utah rates for HCPCS A9517

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

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $35$790%20%10th90th$43Professionalmedian $45 · 10th–90th $35$790%20%10th90th$45$20.0$100.0$500.0$2.0K

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
$35.48
Median
$42.66
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$30.20
Typical High
$44.67
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$67.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$53.70
Select Health
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$48.98
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66