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Oregon rates for HCPCS A9583

Gadofosveset Trisodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.18 / $44.18 / $44.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.44 / $17.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $23.11 / $44.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $22.82 / $25.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $18.55 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $23.11 / $44.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $24.16