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Washington, DC rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $146.84 / $577.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.73 / $38.78
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 / $18.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $12.52 / $19.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $23.87