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Montana rates for HCPCS A9583

Gadofosveset Trisodium Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $20.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $20.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $21.01