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Mississippi 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
$1,192.50 / $1,350.00 / $2,581.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.53 / $2,839.79 / $3,732.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,384.73 / $2,384.73 / $2,623.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.40 / $2,138.40 / $2,138.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.61 / $2,643.84 / $2,643.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.21 / $1,388.02 / $2,468.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.32 / $2,592.00 / $3,369.60