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North Dakota 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 / $4,853.29 / $5,243.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.32 / $2,839.79 / $3,110.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.36 / $2,731.13 / $2,770.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,714.63 / $3,393.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,369.28 / $2,961.60 / $4,220.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.00 / $2,592.00 / $11,254.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,903.04