go back

New Jersey 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
$2,517.57 / $5,035.14 / $14,436.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.32 / $2,581.63 / $2,643.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.36 / $2,643.84 / $3,257.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,458.13 / $3,243.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.36 / $2,517.36 / $2,517.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $3,110.40