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Utah rates for HCPCS A9517

Iodine I-131 Sodium Iodide Capsule(S) Therapeuticper Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.56 / $1,048.32 / $5,739.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $39.11 / $73.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $30.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.59 / $43.11 / $61.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $50.15 / $52.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $42.84