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Idaho 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
$1.47 / $21.61 / $321.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.52 / $1.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.48 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.06 / $9.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.78 / $2.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.34 / $2.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.77 / $1.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.37