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Arizona rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Facilitymedian $29 · 10th–90th $11–$4270%5%10%10th90th$29Professionalmedian $16 · 10th–90th $14–$3470%20%40%10th90th$16$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $426.58 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $25.70 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $24.55 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79