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Indiana rates for HCPCS A9527

Iodine I-125, sodium iodide solution, therapeutic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.71 / $176.71 / $176.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.31 / $131.35 / $176.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $504.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $43.11 / $85.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.52 / $256.57 / $299.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.52 / $239.42 / $299.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.96 / $183.96 / $248.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $223.65