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West Virginia rates for HCPCS A9517

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

Facilitymedian $1,122 · 10th–90th $166–$1,9050%20%40%10th90th$1,122Professionalmedian $41 · 10th–90th $32–$620%10%20%10th90th$41$50.0$100.0$200.0$500.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,122.02 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $39.81 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $602.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $44.67