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South Carolina rates for HCPCS A9583

Gadofosveset Trisodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $72.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.05 / $78.13 / $85.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $21.01 / $25.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.35 / $17.86 / $30.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $21.01