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Washington rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $30.90 / $42.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $44.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $85.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.91 / $46.22
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $4,828.18 / $5,095.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $4,828.18 / $5,095.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $13.37 / $13.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $18.55 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.01 / $21.01