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Oregon 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
$3,981.07 / $5,128.61 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,128.61 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $10,471.29 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $5,754.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $6,760.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,677.35 / $5,248.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,715.35 / $3,715.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,760.83 / $17,378.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $5,248.07 / $7,244.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $6,165.95