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Tennessee 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
$56.35 / $69.98 / $352.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.35 / $69.98 / $95.43
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.64 / $535.71 / $535.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.60 / $633.60 / $825.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $52.25 / $110.35