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Idaho rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $252.18 / $593.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $16.20 / $22.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $14.73 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.04 / $18.41 / $26.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $15.61 / $18.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $13.23 / $28.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $17.68 / $18.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $23.57