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South Carolina 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
$399.35 / $2,550.53 / $8,707.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.36 / $2,550.53 / $2,581.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,737.15 / $3,110.40 / $3,732.48
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.19 / $2,550.53 / $3,257.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,592.00