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Kentucky rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $17.86 / $245.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.86 / $44.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $21.89 / $21.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $18.11 / $18.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $18.11 / $18.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $21.01