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Delaware 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
$6,794.66 / $8,365.21 / $8,563.20
Aetna
Facility/Professional
Professional
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.51 / $2,257.51 / $2,257.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.32 / $2,592.00 / $3,888.00