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Virginia 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
$36.40 / $886.55 / $33,401.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $36.61 / $58.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $47.88 / $75.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $41.80 / $63.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $34.27 / $34.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $88.54 / $119.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $40.70 / $148.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.40 / $42.84 / $87.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $99.00 / $180.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $42.84 / $42.84