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Massachusetts rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $245.64 / $546.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $15.32 / $315.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $44.81 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $35.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.81 / $18.80 / $40.07
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 / $14.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $23.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $14.73 / $64.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $14.73 / $22.10