go back

Tennessee 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
$2,861.72 / $5,087.97 / $5,087.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,904.07 / $5,087.97 / $5,087.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,619.25 / $6,124.98 / $6,574.52
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,823.59 / $12,260.18 / $21,893.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,185.08 / $23,294.34 / $26,271.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,108.41 / $5,108.41 / $5,210.58