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New Jersey 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 / $20.38 / $65.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.61
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.85 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.60 / $1.60
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.78