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Maine rates for HCPCS A9528

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

Facilitymedian $224 · 10th–90th $214–$2340%50%10th90th$224Professionalmedian $71 · 10th–90th $36–$950%20%40%10th90th$71$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $223.87 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $72.44 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $43.65
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $72.44 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $38.90 / $204.17