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Massachusetts 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
$1.48 / $6.97 / $961.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $4.80 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $4.24 / $7.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $9.48 / $32.02
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 / $1.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $22.14
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.59 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.93