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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
$14.73 / $23.19 / $394.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $18.41 / $18.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.68 / $17.38 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.23 / $14.73 / $14.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $18.41 / $23.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $16.20 / $22.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.73 / $27.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $14.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.78