go back

Illinois 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
$2.06 / $171.63 / $297.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.49 / $3.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $13.34 / $69.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.22 / $17.17
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $1.92 / $1.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.02 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.25