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Maine rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.97 / $149.97 / $149.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $15.32 / $22.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.54 / $45.54 / $45.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $17.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.97 / $149.97 / $149.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $16.11 / $33.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $21.36