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Indiana rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $426.58 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $21.88 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $24.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $21.88 / $29.51
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98