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

Wisconsin rates for HCPCS A9517

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

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $36$4790%20%10th90th$55Professionalmedian $56 · 10th–90th $35$2450%10%20%10th90th$56$0.5$2.0$10.0$50.0$200.0$1.0K

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
$43.65
Median
$81.28
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$51.29
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$107.15
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$100.00
Typical High
$112.20
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$100.00
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$64.57
Typical High
$165.96
Network Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$25.12
Network Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$83.18
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$43.65
Typical High
$61.66
Quartz
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$389.05
Quartz
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$630.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$446.68
Typical High
$616.60
Security Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$45.71