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Colorado 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
$2,488.32 / $2,802.33 / $2,802.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.28 / $2,488.32 / $2,954.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.58 / $4,510.08 / $8,294.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.00 / $2,517.36 / $2,643.84
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,488.32 / $2,643.84 / $4,478.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,525.00 / $8,525.00 / $8,525.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,592.00