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Delaware rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $178.98 / $596.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.88 / $14.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $25.69 / $77.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $14.73 / $22.10