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Arizona rates for HCPCS A9584

Iodine 1-123 Ioflupane Diagnostic Per Study Dose Up To 5 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,511.58 / $3,511.58 / $3,511.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,519.42 / $2,581.63 / $4,602.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.65 / $2,813.50 / $2,813.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.83 / $4,681.70 / $7,657.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.11 / $2,250.82 / $10,902.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,428.51 / $2,961.60 / $11,106.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $5,624.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,592.00