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North Carolina 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
$4,594.85 / $9,398.03 / $17,727.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,594.85 / $4,594.85 / $5,210.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,363.83 / $6,130.09 / $6,199.39
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 / $6,130.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $3,858.46 / $5,513.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $6,743.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,823.59 / $5,823.59 / $12,260.18
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,294.34 / $23,294.34 / $26,271.81