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Iowa rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $17.04 / $315.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $17.04 / $450.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $17.64 / $18.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $26.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $19.00 / $25.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $25.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.76 / $17.64 / $22.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $17.71 / $22.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $26.29 / $26.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $14.70 / $14.70