go back

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
$830.90 / $5,087.97 / $6,584.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $5,087.97 / $5,087.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,074.81 / $4,926.01 / $7,614.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,086.72 / $5,517.08 / $5,823.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,210.58 / $5,363.83 / $10,459.77
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
$5,210.58 / $10,421.16 / $18,432.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $6,130.09