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Alaska rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $363.08 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $47.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $23.99 / $37.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $38.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.85 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.88 / $40.74