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Texas 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
$2.60 / $31.33 / $338.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.49 / $22.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $3.95 / $8.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.66
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.47 / $130.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.64 / $31.64 / $31.64
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 / $1.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $22.14 / $22.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $2.12 / $10.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.53 / $1.85
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.33 / $285.07 / $879.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.59 / $2.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.48 / $2.00