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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
$16.98 / $16.98 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $17.78 / $18.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.85 / $26.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $19.05 / $26.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $26.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $20.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $19.50 / $19.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $26.30 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $18.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.79 / $14.79