| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $0.90 | |
Aetna
| Professional | $0.90 | $0.90 | $0.90 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $65.40 | $65.40 | $87.20 |
Iodine I-131 Sodium Iodide Solution Diagnostic Per Millicurie
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $0.90 | |
Aetna
| Professional | $0.90 | $0.90 | $0.90 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $65.40 | $65.40 | $87.20 |