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Ohio 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
$2.70 / $59.90 / $297.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.53 / $34.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $3.46 / $9.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.59 / $2.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.48 / $2.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.48 / $3.43
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 / $3.16
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $5.35 / $23.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.83 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.08