go back

Indiana 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
$1.49 / $66.13 / $203.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.96 / $4.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.48 / $2.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.85
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 / $3.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.97