go back

Arizona rates for HCPCS A9579

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $99.00 / $280.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.62 / $180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $2.41 / $3.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.12 / $5.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.31 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $3.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48