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Illinois rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $169.82 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $134.90 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $19.95 / $43.65
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $24.55 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.85