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New Hampshire 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
$70.65 / $70.65 / $1,252.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $70.65 / $70.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.36 / $93.36 / $93.36
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 / $55.22 / $112.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.35 / $65.89 / $132.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00