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Georgia 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
$776.25 / $6,606.93 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,128.61 / $5,248.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,495.41 / $28,183.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $5,495.41 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $10,471.29 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,073.80 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $6,456.54