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Missouri rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $143.13 / $343.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $17.23 / $273.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $25.04 / $38.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $18.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $13.90 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $17.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.03 / $21.59 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $14.70 / $18.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $14.73 / $16.98