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Indiana rates for HCPCS A9583

Gadofosveset Trisodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $17.86 / $318.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $17.86 / $44.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $18.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $18.55 / $25.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $17.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $26.27