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West 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
$47.72 / $70.23 / $205.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.48 / $2.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.21 / $2.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.43 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.48 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $2.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $21.16 / $24.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.45