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Missouri 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
$2,290.87 / $3,715.35 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,951.21 / $6,760.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,951.21 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,570.40 / $3,019.95