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South Carolina 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
$52.48 / $305.13 / $1,325.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.47 / $75.47 / $93.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $66.95 / $66.95
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.47 / $105.19 / $855.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.42 / $57.35 / $77.64