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Utah rates for HCPCS A9530

Iodine I-131 sodium iodide solution, therapeutic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $5,754.40 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $54.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $27.54 / $85.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $8.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.23 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $7.41 / $9.55