go back

Louisiana rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $23.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $14.41 / $18.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.91 / $18.91 / $19.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $26.26