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Arizona rates for HCPCS A9582

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.78 / $6,116.78 / $16,972.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,965.37 / $4,965.37 / $4,965.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.59 / $10,005.40 / $15,849.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,494.15 / $4,658.87 / $22,566.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $5,210.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $5,210.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,965.37 / $6,206.71 / $21,893.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $11,085.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $5,108.41