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North Carolina rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.71 / $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
$30.60 / $34.77 / $36.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $13.86 / $21.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $21.90 / $27.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $27.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00