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Ohio 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 / $6,955.82 / $16,526.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $4,904.07 / $5,210.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.79 / $3,721.17 / $11,953.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $6,473.69 / $10,681.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.04 / $1,974.04 / $2,710.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.04 / $1,974.04 / $1,974.04
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.58 / $5,210.58 / $6,130.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $6,339.54