Gadofosveset trisodium injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Gadofosveset trisodium inj

Payers reporting HCPCS A9583

Payer pricing summary

Low

$12

Average

$247

Median

$113

High

$1.8k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	140	$43	$49	$62	126%	—	$0 – $1.3k
2	Aetna fee schedule · outpatient · +16 other terms	73	$48	$22	$33	150%	—	$0 – $131
3	Humana fee schedule · outpatient · +12 other terms	72	$74	$100	$63	63%	—	$1 – $181
4	Anthem fee schedule · outpatient · +11 other terms	40	$0	$2	$7	342%	—	$0 – $57
5	UnitedHealthcare fee schedule · outpatient · +15 other terms	35	$28	$184	$210	114%	—	$1 – $701
6	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$76	$69	$23	33%	—	$28 – $119
7	Molina facility · case rate · outpatient · +7 other terms	18	$24	$27	$7	25%	—	$16 – $38
8	Caresource facility · case rate · outpatient · +4 other terms	15	$23	$25	$6	23%	—	$15 – $39
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$21	$16	$10	66%	—	$1 – $27
10	Optum facility · case rate · outpatient · +3 other terms	11	$21	$23	$5	22%	—	$19 – $35
11	Medica fee schedule · outpatient · +4 other terms	10	$43	$43	$11	25%	—	$26 – $55
12	Cigna facility · fee schedule · outpatient · +12 other terms	9	$18	$22	$13	58%	—	$18 – $59
13	Ucare fee schedule · both	9	$18	$18	$0	3%	—	$18 – $19
14	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$18	$18	—	—	—	$18 – $18
15	Bcbs La fee schedule · outpatient · +1 other terms	6	$19	$19	—	—	—	$19 – $19
16	Medicaid fee schedule · outpatient · +2 other terms	5	$9	$20	$26	131%	—	$1 – $72
17	First Health facility · fee schedule · outpatient · +6 other terms	4	$53	$53	—	—	—	$53 – $53
18	Bcbs Id facility · fee schedule · outpatient	3	$28	$23	$13	55%	—	$8 – $37
19	MultiPlan fee schedule · inpatient · +6 other terms	3	$562	$562	$110	20%	—	$453 – $672
20	Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges	2	$15	$15	—	—	—	$15 – $15
21	Bcbs Vt professional · fee schedule · outpatient · +1 other terms	2	$31	$31	$8	25%	—	$18 – $45
22	Kaiser fee schedule · outpatient · +3 other terms	2	$41	$41	$31	78%	—	$9 – $72
23	Phcs percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$464	$616	$457	74%	—	$6 – $1.1k
24	Tricare facility · fee schedule · outpatient	2	$570	$570	$530	93%	—	$40 – $1.1k
25	WellCare facility · percent of total billed charges · outpatientfrom % of charges	2	$13	$13	$1	9%	—	$11 – $14

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