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Utah rates for HCPCS A9583

Gadofosveset Trisodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $17.44 / $17.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.44 / $17.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $24.92 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.96 / $21.01 / $21.01