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Michigan rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $371.54 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.79 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $23.44 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $245.47 / $977.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $22.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.85