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Michigan rates for HCPCS A9530

Iodine I-131 Sodium Iodide Solution Therapeutic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.82 / $687.97 / $5,258.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $8.40 / $21.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.87 / $31.10 / $55.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $21.72 / $26.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $9.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $2,919.38 / $10,517.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $11.00 / $14.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $7.00 / $9.66