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Nebraska 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
$78.59 / $137.55 / $169.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $78.59 / $78.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $87.68 / $87.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $138.75 / $224.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.53 / $184.58 / $516.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $57.47 / $141.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.37 / $141.68 / $244.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.57 / $166.10 / $244.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $57.47 / $94.45