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New York 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
$4,265.80 / $7,762.47 / $31,622.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,128.61 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,398.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,888.44
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $6,456.54
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,456.54 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $27,542.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $13,489.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $7,762.47 / $7,762.47
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $8,128.31 / $8,511.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $8,128.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $7,079.46
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $8,128.31 / $8,912.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $8,128.31