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Pennsylvania 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
$5,248.07 / $9,549.93 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,248.07 / $6,165.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,888.44 / $8,709.64
Capital Blue Cross
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 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $7,762.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $8,128.31 / $15,488.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,248.07 / $6,165.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $6,025.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $7,413.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $7,413.10
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 / $6,456.54