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New Mexico 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
$80.09 / $270.56 / $270.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.34 / $73.34 / $80.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.60 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $125.56 / $157.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.42 / $63.23 / $113.12