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Maryland 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
$24.56 / $223.25 / $562.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.34 / $79.23 / $85.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.19 / $63.19 / $63.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.73 / $118.22 / $221.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.16 / $77.20 / $132.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.57 / $50.57 / $50.57