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Wisconsin rates for HCPCS A9527

Iodine I-125 Sodium Iodide Solution Therapeutic Per Millcurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.90 / $124.90 / $124.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.90 / $151.91 / $282.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $341.93 / $809.15
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 / $292.83 / $393.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.78 / $169.98 / $496.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.48 / $172.59 / $533.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $1,301.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $218.34
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.65 / $161.02 / $462.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.42 / $527.71 / $735.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.86 / $1,184.14 / $1,184.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $976.10 / $1,301.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $258.06