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North Carolina 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
$1.85 / $71.45 / $295.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.60 / $15.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $4.01 / $4.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.50
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 / $2.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $2.39 / $5.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.29 / $927.89 / $4,862.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.43 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $8.56 / $22.14