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Maine 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
$216.06 / $226.38 / $233.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.65 / $72.86 / $72.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.36 / $93.59 / $99,999.99
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $43.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.06 / $226.38 / $233.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.65 / $72.86 / $72.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.54 / $42.24 / $71.58