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Washington rates for HCPCS A9527

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.98 / $294.07 / $402.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.16 / $169.98 / $575.67
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.64 / $196.48 / $1,184.14
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.28 / $1,301.95 / $1,851.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.96 / $349.76 / $505.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $79.02 / $507.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $75.92 / $574.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.67 / $406.99 / $426.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.82 / $174.58 / $342.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $245.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00