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Michigan 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
$1.69 / $72.12 / $478.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $72.12 / $72.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.00 / $186.20 / $331.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.75 / $125.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $199.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $73.41 / $329.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.12 / $96.37 / $115.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $60.05 / $107.87