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North Dakota rates for HCPCS A9528

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.21 / $92.21 / $92.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.56 / $92.21 / $95.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $111.00 / $199.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.62 / $119.87 / $156.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $57.47 / $633.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $41.93 / $94.45