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Arizona rates for HCPCS A9528

Iodine I-131 sodium iodide capsule(s), diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $55.25 / $1,256.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.19 / $65.29 / $103.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $30.40 / $147.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.33 / $116.91 / $516.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $63.23 / $158.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $63.23 / $113.12