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Missouri 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
$2,357.60 / $6,130.09 / $10,833.08
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
$2,074.81 / $7,079.25 / $13,445.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,378.64 / $4,378.64 / $5,838.18
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,545.89 / $5,823.59 / $21,893.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,623.10 / $5,108.41 / $6,370.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,852.99 / $5,108.41 / $6,007.49