What is Iodine I-131 Sodium Iodide Capsule S (HCPCS A9517)?

Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

What do doctors typically charge for Iodine I-131 Sodium Iodide Capsule S?

The nationwide median physician charge for Iodine I-131 Sodium Iodide Capsule S (HCPCS A9517) is $108.38. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS A9517?

The standard insurance baseline reimbursement rate is $65.50. This represents the customary allowable amount established across standard fee schedules.

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HCPCS A9517Medical Service

Iodine I-131 Sodium Iodide Capsule S

Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie. Clinical pricing breakdown and utilization metrics across 1 practicing doctors nationwide.

$108.38

Peer Median Charge

Gross billed rate

$65.50

Standard Baseline

Customary allowable

1.7x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $108.38. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $65.50 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code A9517 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"