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Arkansas rates for HCPCS A9584

Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.50 / $1,350.00 / $2,643.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,581.63 / $2,643.84 / $2,839.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.52 / $2,813.52 / $2,813.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.52 / $2,813.52 / $2,813.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.36 / $2,643.84 / $2,643.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,804.96