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New Jersey 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
$85.50 / $2,216.15 / $3,054.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.97 / $61.28 / $101.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $80.29 / $90.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.13 / $156.13 / $156.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.24 / $71.56 / $125.67