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Mississippi 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $15.32 / $16.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.13 / $13.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $10.60 / $10.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $21.01 / $27.31