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Utah rates for HCPCS A9527

Iodine I-125 Sodium Iodide Solution Therapeutic Per Millcurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.67 / $575.67 / $575.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $207.64 / $575.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.60 / $119.70 / $174.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $215.05