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Virginia 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
$3.17 / $84.40 / $307.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.49 / $2.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $3.52
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.78 / $2.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.04 / $2.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $4.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.79 / $3.28
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.79 / $3.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.48 / $1.86