go back

Alaska rates for HCPCS A9582

Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,275.62 / $8,275.62 / $8,275.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $5,210.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,834.14 / $11,834.14 / $11,834.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.42 / $2,227.42 / $3,182.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,582.12 / $8,582.12 / $13,486.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,173.45 / $11,676.36 / $19,265.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.42 / $3,182.03 / $5,210.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $7,662.62 / $10,304.68