go back

Kansas rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $75.86 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $57.54 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $17.38 / $23.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98