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Vermont rates for HCPCS A9517

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $39.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.94 / $98.94 / $126.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $88.54 / $88.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $42.84 / $99.14