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Oklahoma 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
$60.54 / $60.54 / $60.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $60.31 / $101.05
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.65 / $66.59 / $204.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $63.14 / $117.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $53.41 / $113.12