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Nebraska rates for HCPCS A9584

Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 mCi

Facilitymedian $3,388 · 10th–90th $501–$6,7610%10%20%10th90th$3,388Professionalmedian $2,630 · 10th–90th $2,512–$4,6770%50%10th90th$2,630$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,011.87 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,630.27 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,951.21 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,570.40 / $3,090.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,380.38 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,570.40 / $3,090.30