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Kentucky 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
$4,904.07 / $4,904.07 / $4,904.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $4,904.07 / $5,087.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,187.03 / $6,024.06 / $6,027.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,384.62 / $5,502.64 / $5,502.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.36 / $1,962.26 / $3,040.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.31 / $2,090.40 / $2,926.55
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
$2,091.52 / $5,210.58 / $7,414.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $5,471.11