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Arkansas rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.86 / $17.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $19.26 / $19.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $19.26 / $19.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $19.30 / $19.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $21.01 / $21.64