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Rhode Island 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
$2,166.00 / $2,166.00 / $2,166.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.32 / $2,488.32 / $2,643.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,643.84 / $2,747.52 / $2,903.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,799.36 / $2,799.36 / $2,799.36
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $3,110.40