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Indiana rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Facilitymedian $35 · 10th–90th $18–$7760%10%20%10th90th$35Professionalmedian $15 · 10th–90th $14–$500%50%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $426.58 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $23.99
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $21.88 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $25.12