go back

Louisiana 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
$588.41 / $3,110.40 / $3,110.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,110.40 / $3,110.40 / $3,110.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.00 / $2,380.00 / $2,380.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.90 / $2,346.36 / $2,813.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.52 / $2,813.52 / $2,869.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.00 / $1,308.00 / $1,308.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $3,240.00