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Maine 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
$31.40 / $98.13 / $186.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.48 / $2.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.53 / $125.45 / $186.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.54 / $3.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.59