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Hawaii 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
$43.65 / $75.86 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $91.20 / $213.80