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Nebraska rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $31.26 / $54.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $21.01 / $222.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.96 / $21.01 / $21.01
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 / $34.11 / $3,813.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $21.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.28 / $22.64 / $23.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $22.42 / $38.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.96 / $21.01 / $21.01