go back

California 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
$1.86 / $44.60 / $615.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.60 / $46.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.32 / $1.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.62 / $2.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.50 / $4.07
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.55 / $4.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.58 / $2.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.75 / $2.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $22.14 / $22.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.48 / $2.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.67
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.46
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.62 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.41