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Washington, DC 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
$4,495.00 / $6,334.02 / $12,140.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $5,210.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,356.11 / $7,356.11 / $7,356.11
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.79 / $4,950.05 / $5,823.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $8,279.61