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Nebraska 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
$1.47 / $33.22 / $172.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.67 / $222.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.66 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.79 / $2.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $4.32 / $450.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $3.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.84 / $2.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.13 / $4.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.73 / $3.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.48 / $2.22