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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
$101.65 / $101.65 / $101.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.99 / $180.84 / $214.54