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West 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
$362.20 / $1,043.40 / $1,043.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.62 / $85.29 / $85.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $80.29 / $108.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $455.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $31.92 / $31.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $94.64 / $151.50