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Idaho rates for HCPCS A9528

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.76 / $175.98 / $205.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.72 / $99.03 / $137.36
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.22 / $137.36 / $175.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $42.15 / $90.50