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Indiana 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
$81.13 / $536.29 / $681.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.17 / $60.31 / $81.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $280.13
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 / $82.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $59.00 / $105.20