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Texas rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Facilitymedian $63 · 10th–90th $17–$680%20%40%10th90th$63Professionalmedian $17 · 10th–90th $17–$210%50%90th$17$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $17.78
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $18.62 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $19.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $18.62 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02