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Oregon rates for HCPCS A9584

Iodine 1-123 Ioflupane Diagnostic Per Study Dose Up To 5 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.36 / $5,898.21 / $6,382.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,581.63 / $2,581.63 / $4,602.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,034.72 / $5,034.72 / $5,034.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,643.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,581.63 / $3,257.76 / $5,550.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.43 / $1,804.43 / $3,470.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,581.63 / $3,516.90 / $5,627.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $3,516.90 / $3,516.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,954.88 / $2,954.88 / $2,954.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,980.80