go back

Wisconsin rates for HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Facilitymedian $19 · 10th–90th $17–$850%20%10th90th$19Professionalmedian $17 · 10th–90th $17–$250%50%90th$17$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.95 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $53.70 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.38 / $24.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $17.78 / $18.62
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $26.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $17.78 / $18.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $27.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $27.54