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Wisconsin rates for HCPCS A9528

Iodine I-131 sodium iodide capsule(s), diagnostic, per mCi

Facilitymedian $129 · 10th–90th $58$3550%20%10th90th$129Professionalmedian $93 · 10th–90th $58$2950%10%10th90th$93$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $177.83 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $302.00 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $147.91 / $204.17
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $85.11 / $114.82
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $426.58 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $208.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $63.10 / $208.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $229.09 / $323.59
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $151.36 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $60.26 / $123.03