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Kansas 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
$1,420.41 / $3,110.40 / $4,647.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.32 / $2,488.32 / $3,110.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.20 / $2,571.55 / $3,149.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.92 / $2,218.92 / $2,218.92
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
$2,369.28 / $2,961.60 / $3,723.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $11,254.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $3,110.40