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Massachusetts rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $25.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.72 / $43.10 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $21.01 / $37.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $23.68 / $50.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $18.55 / $29.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $21.01 / $35.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $21.01 / $36.77