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Indiana rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.88 / $662.32 / $1,106.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.88 / $14.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.47 / $29.46 / $44.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $14.73 / $20.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $22.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $22.83
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 / $17.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $18.27