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Kentucky 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 / $4,553.62 / $13,173.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.32 / $2,488.32 / $2,581.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,793.96 / $2,910.38 / $3,470.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.60 / $2,160.00 / $2,376.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.36 / $2,517.36 / $2,643.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $3,761.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,776.03