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Idaho rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Facilitymedian $32 · 10th–90th $18–$470%20%10th90th$32Professionalmedian $17 · 10th–90th $17–$450%50%90th$17$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $26.92 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $19.05 / $44.67
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $44.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $30.20 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89