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North Dakota 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 / $5,087.97 / $6,130.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,559.26 / $5,382.60 / $5,459.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.13 / $3,177.66 / $5,210.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,904.07 / $6,375.29 / $8,735.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $22,185.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $5,619.25