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New York rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.98 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $16.98 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $21.38 / $32.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $17.78 / $17.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.18
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $13.18 / $13.18
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.30 / $13.18