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Oklahoma 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
$2,519.42 / $2,519.42 / $2,519.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.32 / $2,519.42 / $2,581.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
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 / $2,643.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.02 / $2,638.79 / $3,430.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.00 / $2,592.00 / $2,871.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,592.00