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Gadofosveset Trisodium Injection

Montana rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $13$150%20%40%10th$15Professionalmedian $18 · 10th–90th $15$450%20%40%10th90th$18$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$14.79
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$14.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$79.43
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89