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Vermont rates for HCPCS A9579

Injection Gadolinium-Based Magnetic Resonance Contrast Agent Not Otherwise Specified (Nos) Per Ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.69 / $2.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.69 / $2.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.42