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Maine rates for HCPCS A9583

Gadofosveset Trisodium Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $16.80 / $16.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $18.55 / $22.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $31.52