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Missouri 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
$1.90 / $64.61 / $288.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.52 / $5.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.61 / $3.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $2.92 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.47 / $2.25
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.22