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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
$1.00 / $20.42 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.45 / $52.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $4.79 / $7.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $4.27 / $6.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.29
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $4.79 / $7.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $3.55
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $398.11 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.45 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.95