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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
$14.79 / $251.19 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $25.70 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $16.22 / $21.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.49 / $18.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $12.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.79 / $18.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $23.44