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Kentucky rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $27.54 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $18.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $17.38 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $23.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.22 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.38 / $63.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.49