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Michigan rates for HCPCS A9527

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.07 / $157.07 / $157.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.78 / $157.07 / $575.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.47 / $310.70 / $552.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.15 / $216.92 / $260.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.01 / $27.01 / $157.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.01 / $28.93 / $157.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $228.17