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Virginia 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
$77.81 / $85.29 / $317.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.93 / $77.81 / $85.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.36 / $93.36 / $114.79
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.96 / $135.10 / $137.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.81 / $101.45 / $154.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.94 / $177.00 / $229.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.42 / $63.23 / $139.69