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New Hampshire rates for HCPCS A9527

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.67 / $575.67 / $690.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.16 / $192.69 / $575.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.58 / $208.58 / $347.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.79 / $215.05 / $516.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.66 / $162.44 / $206.74