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Massachusetts 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
$5,210.58 / $5,210.58 / $8,613.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $5,210.58 / $5,823.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.71 / $5,357.78 / $16,187.51
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,962.45 / $5,108.41 / $12,419.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,248.71 / $7,430.90 / $15,840.16
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $3,112.22 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $8,404.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,823.59 / $5,823.59 / $12,260.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $23,294.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $7,662.62