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Maryland 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
$3.42 / $9.24 / $62.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.48 / $34.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.48 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.70