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Pennsylvania 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
$2.24 / $46.64 / $190.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.49 / $31.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $6.48 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $6.48 / $6.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.48 / $1.48
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 / $1.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $14.51 / $19.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $47.22 / $190.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.61 / $31.80
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.55 / $568.41 / $851.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.41 / $3.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.48 / $1.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.71