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Ohio rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.92 / $62.00 / $115.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $44.18 / $44.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $19.78 / $30.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $29.52