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Maryland rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $18.55 / $18.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $32.00 / $38.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $21.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.93 / $17.93 / $17.93