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Minnesota rates for HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $48.00 / $219.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $16.36 / $273.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $19.98 / $37.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $14.70 / $14.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $41.38 / $48.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $17.60 / $19.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.95 / $37.61 / $54.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $18.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $22.91 / $38.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $33.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $26.51