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Arizona rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $426.58 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.20 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $18.62 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $21.38 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $24.55 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79