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Hawaii rates for HCPCS A9582

Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,087.97 / $5,087.97 / $5,087.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $7,861.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,405.95 / $6,988.31 / $7,279.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $7,662.62 / $7,861.85