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Iodine I-123 Ioflupane, Diagnostic

New Hampshire rates for HCPCS A9584 · DaTscan

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

Rates data updated July 2026.

How much does DaTscan (ioflupane i-123) cost?

$2,630

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,630$2,630 to $2,630
FacilityA hospital or hospital-owned outpatient department$3,631$2,630 to $5,370

How much rates vary

Facilitymedian $3,631 · 10th to 90th $2,188 to $6,918Professionalmedian $2,630 · 10th to 90th $2,630 to $4,571
$2K$5K$10Kfacility $3,631professional $2,630

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,162.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,897.79
Typical High
$6,918.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,630.27
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,248.07
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,570.40
Typical High
$2,630.27
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,388.44
Typical High
$4,466.84

Where New Hampshire sits

The same service costs 1.7 times more in Alaska than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 23rd of 51

$2,630

AK $4,169KS $2,512

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.