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Louisiana rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $15.17 / $1,157.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.88 / $22.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.62 / $15.44 / $17.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $16.18 / $16.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $95.55 / $95.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $13.90 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $17.04