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Pennsylvania 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
$61.28 / $463.40 / $2,028.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.62 / $66.42 / $85.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.38 / $106.33 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $111.93 / $111.93
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.70 / $78.05 / $1,310.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $934.82 / $2,028.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.34 / $66.42 / $85.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.75 / $299.56 / $410.96
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.54 / $64.38 / $137.11