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Pennsylvania rates for HCPCS A9528

Iodine I-131 sodium iodide capsule(s), diagnostic, per mCi

Facilitymedian $417 · 10th–90th $83–$2,0420%10%10th90th$417Professionalmedian $66 · 10th–90th $54–$1050%20%10th90th$66$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $467.74 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $66.07 / $93.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $107.15 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $288.40 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $128.82 / $1,318.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $66.07 / $120.23
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $66.07 / $93.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $208.93 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $64.57 / $144.54