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North Dakota rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $21.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.63 / $18.45 / $18.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.13 / $23.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $21.01 / $30.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $23.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $23.11