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Oklahoma rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.86 / $44.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $20.54 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $22.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $22.27