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Alaska rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.54 / $25.54 / $25.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.54 / $25.54 / $25.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $31.52 / $42.38