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Connecticut rates for HCPCS A9528

Iodine I-131 Sodium Iodide Capsule(S) Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $101.63 / $143.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $94.55 / $94.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.62 / $93.59 / $168.55
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $70.37 / $125.56