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West 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
$714.40 / $1,128.00 / $1,917.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.43 / $39.11 / $58.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $119.78 / $119.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.40 / $108.40 / $108.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $44.98