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North Carolina 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
$2,517.36 / $4,341.12 / $6,667.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.36 / $2,517.36 / $2,643.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,545.00 / $4,545.00 / $4,848.00
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 / $3,110.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.19 / $2,257.19 / $3,020.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,257.19 / $2,257.19 / $2,257.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,853.56 / $4,020.95 / $4,779.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $3,369.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,954.88 / $2,954.88 / $6,940.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,254.08 / $11,254.08 / $13,327.20