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Ohio rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Facilitymedian $33 · 10th–90th $0$1150%20%10th90th$33Professionalmedian $18 · 10th–90th $17$440%50%10th90th$18$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.91 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.50 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $21.88