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Iowa rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.26 / $38.57 / $38.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.61 / $23.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $47.79 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $22.28 / $34.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $27.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.28 / $22.64 / $25.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.20 / $22.28 / $38.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $27.33