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Wyoming 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
$2,073.60 / $2,073.60 / $2,073.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $45.05 / $58.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $42.84 / $42.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $42.84