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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
$113.75 / $113.75 / $425.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $22.09 / $340.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $13.52 / $16.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.28 / $23.85 / $37.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $11.10 / $53.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $21.36 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $31.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73