go back

Tennessee rates for HCPCS A9583

Gadofosveset Trisodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $17.86 / $31.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $46.22 / $46.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.96 / $21.01 / $21.01