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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
$15.92 / $368.09 / $962.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $15.17 / $22.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $12.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $22.34 / $39.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $15.00 / $18.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $16.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.16 / $178.22 / $853.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $19.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $16.17 / $26.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.88