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Florida 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
$3,992.91 / $4,927.08 / $5,275.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $5,087.97 / $5,210.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,599.83 / $5,210.58 / $5,210.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $5,210.58
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,639.68 / $5,639.68 / $5,639.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,624.93 / $5,639.68 / $5,639.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $10,095.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $5,363.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,978.06 / $5,978.06 / $5,978.06