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South Carolina 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
$4.87 / $40.99 / $196.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.55 / $2.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $2.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.77 / $3.44
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $3.31 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48