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Vermont rates for HCPCS A9528

Iodine I-131 Sodium Iodide Capsule(S) Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.02 / $87.02 / $87.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.99 / $98.82 / $129.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $138.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $138.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.19 / $105.30 / $227.92