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Connecticut 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
$841.91 / $3,138.74 / $6,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.36 / $2,643.84 / $4,232.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.60 / $3,940.36 / $8,042.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,782.56
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
ConnectiCare
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
$2,464.98 / $2,592.00 / $2,861.57