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California rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.88 / $302.70 / $707.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $22.09 / $450.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $14.00 / $23.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $16.16 / $21.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.73 / $33.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.84 / $33.84 / $77.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $14.74 / $40.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $13.90 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $17.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.75 / $19.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $16.94 / $29.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $64.91 / $64.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.13 / $30.13 / $30.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $14.73 / $21.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $17.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $33.50 / $33.50
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $16.20 / $25.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $29.57