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Michigan 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
$1.59 / $80.00 / $268.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.52 / $2.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.23 / $3.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.50 / $1.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.09 / $3.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $79.40 / $291.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.61 / $2.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.60