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Washington, DC 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
$2,643.84 / $3,093.24 / $6,398.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.36 / $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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.65 / $2,511.65 / $3,250.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $4,201.06