go back

Alaska rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.25 / $359.95 / $945.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.36 / $27.40 / $51.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.18 / $39.18 / $216.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $47.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $23.86 / $37.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.24 / $34.08 / $56.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $22.10 / $29.71