go back

Massachusetts 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
$66.78 / $66.78 / $715.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $72.12 / $94.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.94 / $497.42 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $123.94 / $301.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.34 / $397.94 / $732.98
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $58.73
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.64 / $187.64 / $535.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $116.35 / $633.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $87.23 / $159.06