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Texas rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $62.69 / $67.15
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $18.55 / $37.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $18.55 / $37.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $21.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $16.05 / $16.80