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Idaho rates for HCPCS A9582

Iodine 1-123 Iobenguane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $6,299.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $5,210.58 / $5,271.88
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.39 / $5,271.88 / $7,538.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $4,455.05 / $11,356.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,823.59 / $6,988.31 / $7,279.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $7,151.77