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Missouri rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
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
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.76 / $15.76 / $19.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $26.35 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $21.01 / $24.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.01 / $21.01 / $24.31