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West Virginia 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
$3,521.17 / $4,474.39 / $10,360.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $2,839.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.36 / $2,643.84 / $2,643.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.84 / $2,643.84 / $3,761.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,127.26 / $4,127.26 / $4,891.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $3,753.99