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Michigan rates for HCPCS A9582

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

Facilitymedian $8,128 · 10th–90th $4,898–$13,4900%10%20%10th90th$8,128Professionalmedian $5,129 · 10th–90th $4,898–$6,1660%50%10th90th$5,129$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,481.54 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,128.61 / $5,248.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,128.31 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $6,025.60 / $6,025.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $9,120.11 / $28,183.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $9,772.37 / $13,182.57
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,344.23 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,754.40