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Oklahoma 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
$4,965.37 / $4,965.37 / $4,965.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $4,965.37 / $5,087.97
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 / $5,210.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,074.81 / $5,461.91 / $7,100.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $6,376.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $5,474.22