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Utah 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
$50.58 / $50.58 / $327.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.58 / $50.58 / $50.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $80.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $287.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $63.23 / $90.50