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Illinois rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $143.13 / $456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.88 / $37.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.72 / $135.29 / $250.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.04 / $17.04 / $17.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $19.68 / $35.69
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
$19.14 / $19.14 / $19.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $20.01 / $22.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $16.14