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Oklahoma 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
$2.77 / $50.84 / $533.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
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 / $1.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.75 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.81