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Hawaii 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
$310.38 / $410.68 / $410.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $21.42 / $52.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.77 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.78 / $2.22
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.96 / $2.00