go back

Colorado 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
$4,904.06 / $5,852.13 / $6,801.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $4,904.07 / $5,823.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,331.26 / $8,888.62 / $16,346.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,594.85 / $4,594.85 / $5,502.64
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.05 / $5,210.58 / $8,827.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,345.00 / $15,345.00 / $15,345.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $5,108.41