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Idaho rates for HCPCS A9583

Gadofosveset Trisodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.18 / $44.18 / $44.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $44.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $17.86 / $25.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $30.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $29.41