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Washington, DC 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
$85.29 / $97.12 / $194.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.86 / $85.29 / $85.29
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.96 / $231.67 / $231.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $51.47 / $103.96