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New Jersey 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
$5,210.57 / $5,210.58 / $16,241.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $5,087.97 / $5,210.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,594.85 / $5,210.58 / $5,946.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $5,210.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,815.87 / $7,815.87 / $7,815.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,570.75 / $4,496.10 / $9,373.99
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,892.29 / $7,815.87 / $7,815.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $5,414.91