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Vermont rates for HCPCS A9517

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $39.81 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $42.66 / $66.07